In Clinical Practice: Cardiovascular Risk Management

In Clinical Practice: Cardiovascular Risk Management

Edited by W. Stephen Waring, BMedSci, MB, FRCP(UK), PhD, Consultant Physician, Royal Infirmary of Edinburgh, and Honorary Senior Lecturer, The University of Edinburgh, UK


INTRODUCTION
Epidemiology
Morbidity
Financial impact
CARDIOVASCULAR DISEASE PREVENTION
Risk factors for cardiovascular disease
Overall cardiovascular risk prediction
Summary
LIFESTYLE
Impact of lifestyle on cardiovascular risk factors
Dietary supplements
Implementing lifestyle changes
Conclusion
SMOKING CESSATION
Induction of a hypercoagulable state
Reduction tissue oxygen delivery
Haemodynamic effects
Endothelial dysfunction
Benefits of smoking cessation
Nicotine replacement therapy
Bupropion
Combined nicotine replacement therapy and bupropion
OBESITY
DIABETES MELLITUS
Epidemiology
Financial burden of diabetes
Diabetes as a cardiovascular risk factor
Early detection of diabetes by screening
Assessing cardiovascular risk and prognosis
Microalbuminuria
Diabetic nephropathy
Need for specialist intervention
Summary
DYSLIPIDAEMIA
Dyslipidaemia and cardiovascular risk
Prevalence of dyslipidaemia
Definition and diagnosis of dyslipidaemia
Reducing the risk
Conclusions
HYPERTENSION
Definition of hypertension
Prevalence of hypertension
Measurement of blood pressure
Making a clinical diagnosis of hypertension
Pathogenesis of hypertension
Initial assessment in hypertension
Treatment of hypertension
Postural hypotension
Need for specialist intervention
Importance of hypertension as a cardiovascular risk factor in diabetes
Hypertension in patients with renal disease
Hypertension in obese patients
Conclusions
ANTIPLATELET THERAPY
Dual antiplatelet therapy
PATIENT ISSUES AND COMPLIANCE
CONCLUSION