Dialogues in Cardiovascular Medicine - Vol 14 . N°2 . 2009






The strategy of prevention: lessons from cardiovascular disease
G. Rose

Rose coins the term “the prevention paradox” in this paper based on his Adolf Streicher memorial lecture in 1980; defined as “a measure that brings large benefits to the community offers little to each participating individual.”...



Sick individuals and sick populations
G. Rose

In this classic paper, Rose reflects on the etiology and prevention of disease as a clinician concerned with sick individuals, and as an epidemiologist concerned with sick populations...



An updated coronary risk profile. A statement for health professionals
K. Anderson, P. W. Wilson, P. M. Odell, W. B. Kannel

The Framingham epidemiological study, which started in 1948, followed up a cohort of healthy white Americans who were free of cardiovascular disease (CVD), and related their lifestyles, physiology, and biochemistry to subsequent development of CVD...



Management of raised blood pressure in New Zealand: a discussion document
R. Jackson, P. Barham, J. Bills, T. Birch, L. McLennan, S. MacMahon, T. Maling

Jackson and colleagues’ seminal paper on the management of raised blood pressure represented a paradigm shift in thinking about the concept of “hypertension” and its treatment. In the 1950s, the first drugs for lowering blood pressure were used to treat malignant hypertension, often symptomatic, with very high blood pressure levels, and usually fatal if left untreated...



Prevention of coronary heart disease in clinical practice. Recommendations of the Task Force of the European Society of Cardiology, European Atherosclerosis Society and European Society of Hypertension
K. Pyörälä, G. De Backer, I. Graham, P. A. Poole-Wilson, D. Wood

In 1992, Kalevi Pyörälä, Professor of Medicine at the University of Kuopio, brought together the European Society of Cardiology, European Atherosclerosis Society, and European Society of Hypertension in a unique partnership to create a common European agenda for prevention of coronary heart disease (CHD)...



Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project
R. M. Conroy, K. Pyörälä, A. P. Fitzgerald, S. Sans, A. Menotti, G. De Backer, D. De Backer, P. Ducimetière, P. Jousilahti, U. Keil, et al; SCORE Project Group

The Joint European Societies’ recommendations on coronary heart disease (CHD) prevention in 1994 broke the mould of single risk factor management by advocating total CHD risk estimation as the prerequisite to deciding to treat blood pressure or lipids...



Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials
R. S. Taylor, A. Brown, S. Ebrahim, J. Jolliffe, H. Noorani, K. Rees, B. Skidmore, J. A. Stone, D. R. Thompson, N. Oldridge

Evidence for cardiac rehabilitation was first summarized by Oldridge who reported in 1988 that patients receiving exercise therapy had fewer cardiac deaths and longer survival compared with those with usual medical care...



Meta-analysis: secondary prevention programs for patients with coronary artery disease
A. M. Clark, L. Hartling, B. Vandermeer, F. A. McAlister

Clark et al, in this meta-analysis, aimed to determine the effectiveness of secondary prevention programs, with and without exercise, in patients with coronary artery disease...



Multiple risk factor interventions for primary prevention of coronary heart disease
S. Ebrahim, A. Beswick, M. Burke, G. Davey Smith

Evidence from single risk factor interventions such as lowering blood pressure, or lowering cholesterol, is impressive...



Prevention of cardiovascular disease. Guidelines for assessment and management of cardiovascular risk
World Health Organization

Noncommunicable diseases, of which half are due to cardiovascular disease (CVD), are predicted to increase substantially over the coming years, and much of this disease burden will fall on low- and middle-income countries...






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