Integrated management of cardiovascular risk : report of a WHO meeting, Geneva, 9-12, July 2002.

Format:

Book

Government document

Author/Creator:

World Health Organization, author, issuing body.

Language:

English

Subjects (All):

Cardiovascular system--Diseases--Prevention.

Cardiovascular system.

Health risk assessment.

Physical Description:

1 online resource (44 p.)

Edition:

1st ed.

Place of Publication:

Geneva : World Health Organization, 2002.

Language Note:

English

Summary:

The health outcomes of millions of individuals with cardiovascular risk factors, who are vulnerable to strokes and heart attacks, can only be improved through an integrated approach that addresses overall cardiovascular risk. There are many barriers to implementing such an approach, particularly in low-resource settings. The WHO CVD-Risk Management package has been developed in order to facilitate integrated care of cardiovascular risk despite these barriers. It informs policy-makers of the need and feasibility of managing cardiovascular risk in less well-resourced settings and enables cardiovascular risk management (in settings faced with low resources) through affordable approaches and rational resource allocation. It also facilitates a paradigm shift from single risk factor management to comprehensive cardiovascular risk management through simplified clinical pathways and promotes evidence-based non-pharmacological treatment of cardiovascular risk and operationalization of clinical prevention aided by counselling protocols. Finally, it promotes the use of cost-effective generic drugs for management of cardiovascular risk and empowers patients and their families to cope with a long-term illness.

Contents:

Intro

CONTENTS

Executive Summary

1. Setting the scene

1.1 Background

1.2 Rationale and goals of the meeting

1.3 The meeting process and participants

1.4 The package in the context of other WHO programmes for noncommunicable diseases

2. The challenge

2.1 Scope of the problem

2.2 Importance of prevention of myocardial infarction and stroke

2.3 "Use what we know"

2.4 Cardiovascular risk

2.5 Hypertension as an entry point to cardiovascular risk management

2.6 Treatment gap

3. Country situations

3.1 Hypertension management in Nigeria

3.2 Constraints to hypertension management in Cameroon, Mozambique, Pakistan and Thailand

4. Paradigm shift from single risk factor approach to comprehensive cardiovascular risk management

4.1 Barriers to comprehensive cardiovascular risk assessment and management

4.2 Assessing the impact of cardiovascular risk factors

4.3 Applying cardiovascular risk assessment to low-resource settings

4.4 Limitations in advocating estimation of individual risk for future cardiovascular events

5. Relative balance between population strategy and high-risk strategy for primary prevention

6. Barriers to cardiovascular risk management

6.1 Health policy

6.2 Health-care systems

6.3 Health-care providers

6.4 Patients, families and the community

7. The WHO CVD-Risk Management Package

7.1 How has it been designed and what is it for?

7.2 What are the characteristics of the package?

7.3 What are the contents of the package?

7.4 What are the prerequisites for implementing the package?

7.5 Next steps

Annex: BPMDs for low-resource settings

Recommendations on BPMDs

References

Meeting participants.

Notes:

At head of title: Cardiovascular Disease Programme.

Includes bibliographical references.

ISBN:

1-280-06045-X

9786610060450

92-4-068077-2

0-585-46810-9

OCLC:

559621549