针对美国初级保健医生的心血管指南相关建议的重点回顾。

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Endocrinology & Metabolism Pub Date : 2020-05-15 eCollection Date: 2020-06-01 DOI:10.1097/XCE.0000000000000192
Omar Sheikh, Mouhamed Nashawi, Ayman Battisha, Robert Chilton
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引用次数: 0

摘要

在美国,初级保健医生是未确诊或处理不当病症的第一联系人,也是多个社区持续护理的提供者,发挥着至关重要的作用。他们的业务范围很广,从药物调节到协调专科护理,甚至是执行诊疗程序。在美国,初级保健医生通常会遇到糖尿病患者以及与长期胰岛素抵抗相关的合并症患者。主要包括心力衰竭加重或重大不良心血管事件。初级保健医生的角色要求很高,这可能会使他们在管理糖尿病和心脏糖尿病后遗症的相关指南方面感到束手无策。我们的目标是将美国心脏病学会/美国心脏协会和美国糖尿病协会等美国医学会当前的重要循证要点汇编成册,这些要点主要涉及生活方式调整、抗血小板治疗、降糖药和 SGLT2 抑制剂的使用、高血压、血脂异常和心力衰竭筛查等方面,既简明扼要,又对初级保健医生很有价值。
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A focused review of cardiovascular guideline related recommendations for the primary care physician in the USA.

Primary care physicians in the USA serve the critical role of first contact for undiagnosed or mismanaged pathologies as well as providers of continuous care in multiple communities. Their scope of practice is broad from medication reconciliation to coordinating specialty care and even performing office procedures. Primary care physicians in the USA commonly encounter patients with diabetes and associated comorbidities related to prolonged insulin resistance. Mainly these include heart failure exacerbation or major adverse cardiovascular events. The demanding roles primary care physicians serve may render these providers encumbered to navigate through long, verbose and dynamic guidelines related to managing diabetes and cardiac diabetology sequelae. Our aim is to compose current, prominent evidence-based points from American medical societies such as the American College of Cardiology/American Heart Association and the American Diabetes Association central to lifestyle modifications, antiplatelet therapy, anti-hyperglycemic and SGLT2-inhibitor utilization, hypertension, dyslipidemia, and heart failure screening in a way that is both succinct and valuable to primary care physicians.

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来源期刊
Cardiovascular Endocrinology & Metabolism
Cardiovascular Endocrinology & Metabolism CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.60
自引率
0.00%
发文量
24
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