Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Clinical Manual of Total Cardiovascular Risk (Paperback, 2009 ed.)
Loot Price: R1,362
Discovery Miles 13 620
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Clinical Manual of Total Cardiovascular Risk (Paperback, 2009 ed.)
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Over the last 10-20 years, there has been an increasing
appreciation of the need to manage individual risk factors for
cardiovascular disease (CVD) in the context of overall cv risk
rather than on the basis of the absolute level of any given risk
factor. This approach has given rise to the misnomer "global risk"
and gen- ated extensive "lip-service" around this more broad-minded
approach to managing risk factors and the prevention of CVD. This
short book was devised with the idea of providing a practical
summary of the rationale for management based on estimated total CV
risk and the various methods associated with so-doing. Practical
issues are addressed including treatment thresholds and targets for
the major risk factors on which we routinely intervene, and a brief
descr- tion of the major means of these interventions is provided.
Whilst a multifactorial approach to CV prevention is logical and
reflects the pathophysiological processes which underpin the
formation of athe- sclerosis, the evidence base to guide practice
using estimated CV risk ("global risk") as a threshold for
intervention is essentially non-existent. Meanwhile, pending
supportive evidence from randomized trials, prac- cal, pragmatic,
and cost-effective approaches to preventing CVD, which is the
current biggest contributor to global mortality and burden of
disease, is urgently required. The hope is that this book may make
a small contribution toward reducing the horrendous burden which
CVD currently imposes on the world.
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