A Comprehensive Cardiovascular Preventive Clinic: Is it a Concept that is Possible to Implement in the Military System?
Journal Title: Heart Research – Open Journal - Year 2014, Vol 1, Issue 1
Abstract
Cardiovascular disease has a huge impact on our society and the individuals affected. According to the most recent data published by American Heart Association (2014 Update), Coronary heart disease alone caused about 1 in 6 deaths in the United States in 2010. In 2010, the senior author attempted to explore the concept of truly comprehensive cardiovascular preventive clinics with goal driven protocols and operated by mid-level providers with different backgrounds from clinical pharmacy to advanced nurse practitioners. The concept, design and implementation of the Preventive Cardiology Clinic at Brooke Army Medical Center using a multi-disciplinary approach with evidence based protocols and standard operating procedures in a patient-centered design enhanced patient participation and optimized success in preventive care in a high-risk population. The Preventive Cardiology Clinic resulted in improved identification and screening of cardiovascular patients at risk, improved implementation of preventive therapies and achievement of target goals, significantly affected tobacco cessation success rates that surpasses nationally reported success rates, and improved quality of life. We feel this concept could be easily replicated using existing resources in most military and other medical treatment facilities
Authors and Affiliations
Ahmad M. Slim
Left Atrial Appendage Thrombus in a Patient with Atrial Fibrillation on Apixiban Successfully Treated with Warfarin and Pulmonary Vein Isolation Ablation
Atrial fibrillation (AF) is a common cardiac arrhythmia that can be seen in hospitalized patients. It has been shown to be a major risk factor for cardioembolic stroke, and therefore patients are frequently started on li...
Saddle Thrombus seen on Transthoracic Echo: A Rare Feature in Pulmonary Embolism
The Saddle thrombus is a rare condition characterized by presence of a large thrombus which straddles the main pulmonary arterial trunk and its bifurcation leading to acute massive Pulmonary Embolism (PE). Its incidence...
Cardiovascular Research: Past, Present and Future
Cardiovascular disease remains a leading cause of death and significant burden on healthcare systems worldwide. While interventional and preventative medicine has considerably changed the face of clinical practice, at th...
Saroglitazar: A New Drug to Treat Diabetic Hypertriglyceridemia
Dyslipidemia alone has been considered as one of the major modifiable risk factor for cardiovascular diseases (CVD) accounting for 50% of the 1st myocardial infarction (MI) cases worldwide.1 A recent epidemiological sur...
Beneficial Effects of Pre-Operative Intra Aortic Balloon Pump Support in High Risk Patients Undergoing Coronary Artery Bypass Graft Surgery
Objective: The purpose of this study was to evaluate the efficacy and the cost-benefit of preoperative Intra-aortic Balloon Pump (IABP) treatment on peri- and post-operative cardiac performance, improved hemodynamic stab...