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1

Reducing cardiovascular risk in people with diabetes mellitus. Dartford: Magister Consulting, 2006.

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2

P, De Bono D., ed. Cardiovascular risk factors. London: Gower Medical Pub., 1993.

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3

Eades, Mary Dan. Arthritis: Reducing your risk. New York: Bantam Books, 1992.

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4

Cicero, Arrigo F. G. Hypertension and Metabolic Cardiovascular Risk Factors. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-39504-3.

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5

Gotto, Antonio M., Claude Lenfant, Rodolfo Paoletti, and Maurizio Soma, eds. Multiple Risk Factors in Cardiovascular Disease. Dordrecht: Springer Netherlands, 1992. http://dx.doi.org/10.1007/978-94-011-2700-4.

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6

Gotto, A. M., C. Lenfant, A. L. Catapano, and R. Paoletti, eds. Multiple Risk Factors in Cardiovascular Disease. Dordrecht: Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0039-7.

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7

Gotto, Antonio M., C. Lenfant, Rodolfo Paoletti, A. L. Catapano, and A. S. Jackson, eds. Multiple Risk Factors in Cardiovascular Disease. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-5022-4.

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8

Clinical manual of total cardiovascular risk. London: Springer, 2009.

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9

1959-, Osborn Kevin, and Philip Lief Group, eds. Heart disease: Reducing your risk. New York: Bantam Books, 1991.

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10

Eades, Mary Dan. Breast cancer: Reducing your risk. New York: Bantam Books, 1991.

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11

Roehrig, Karla L. Risk factors and disease prevention. Columbus, Ohio (456 Clinic Dr., Columbus 43210): Dept. of Family Medicine, College of Medicine, Ohio State University, 1985.

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12

Berne, Robert M. Cardiovascular physiology. 5th ed. St. Louis: Mosby, 1986.

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13

Contemporary cardiovascular disease risk factors in special populations. Newtown, Pa: Handbooks in Health Care, 2010.

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14

Problem solving in cardiovascular risk. Oxford: Clinical Pub., 2011.

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15

Association, American Heart, ed. Metabolic risk for cardiovascular disease. Dallas, TX: American Heart Association, 2010.

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16

Marie, Lindquist, and Philip Lief Group, eds. Ovarian and uterine cancer: Reducing your risk. New York: Bantam Books, 1992.

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17

Young, T. Kue. Cardiovascular diseases and risk factors among North American Indians. Winnipeg: Northern Health Research Unit, Dept. of Community Health Sciences, Faculty of Medicine, University of Manitoba, 1990.

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18

Armitage, Jeff. Impact of cardiovascular disease in Nebraska. Lincoln, Neb.]: Nebraska Health and Human Services System, Dept. of Health and Human Services, Office of Disease Prevention and Health Promotion, 2004.

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19

Waters, Anne-Marie. Risk factors for cardiovascular disease: A summary of Australian data. [Canberra]: Australian Institute of Health and Welfare, 1995.

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20

Iacobellis, Gianluca. Obesity and cardiovascular disease. Oxford: Oxford University Press, 2009.

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21

Iacobellis, Gianluca. Obesity and cardiovascular disease. Oxford: Oxford University Press, 2009.

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22

Eisenberg, Michael. A statewide strategy for reducing youth risk factors related to criminality. Austin, Tex. (P.O. Box 13332, Austin 78711-3332): Criminal Justice Policy Council, 1998.

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23

World Health Organization (WHO). Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. Geneva: World Health Organization, 2007.

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24

Adams, Mary L. Cardiovascular disease risk factors in Wyoming: Results from the 2003 Wyoming behavioral risk factor surveillance system. Cheyenne, Wyo.]: Published by the Preventive Health and Safety Division, 2004.

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25

Adams, Mary. Cardiovascular disease in Connecticut: Morbidity and risk factors from the 1994 BRFSS. Hartford, Conn: State of Connecticut Dept. of Public Health, Bureau of Community Health, 1998.

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26

Quality, United States Agency for Healthcare Research and. Effects of omega-3 fatty acids on cardiovascular risk factors and intermediate markers of cardiovascular disease. Rockville, Md.]: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 2004.

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27

Banerjee, Amitava, and Kaleab Asrress. Prevention of cardiovascular disease. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0343.

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The global scale of the cardiovascular disease epidemic is unquestionable, with cardiovascular disease causing a greater burden of mortality and morbidity than any other disease, regardless of country or population. With demographic change and ageing populations, the prevalence of cardiovascular disease and its risk factors is set to increase. The commonest cardiovascular diseases are atherosclerotic, affecting all arterial territories. The ‘burden of disease’ approach has highlighted the fact that cardiovascular disease and non-communicable diseases are not simply diseases of affluence but affect people of all countries, with enormous costs in terms of public health, healthcare, and overall economies. Coronary artery disease is the leading cause of mortality in all regions of the world apart from sub-Saharan Africa, followed by cerebrovascular disease. It should be noted, however, that there has been a major decline in cardiovascular disease mortality in Western Europe, the US, and Japan over the past 40 years. There are multiple factors underlying these favourable trends but understanding the epidemiology and characterizing individual risk factors for cardiovascular disease has been central in formulating preventive and treatment strategies. The INTERHEART study showed that 90% of cardiovascular risk can be explained by nine easily identifiable risk factors; an awareness of these, and the discovery of novel factors, will continue to serve in the fight to reduce the burden of cardiovascular disease. Geoffrey Rose first championed population-wide approaches versus strategies which target only high-risk individuals. Prevention aims to ‘catch the disease’ upstream, therefore delaying, reducing, or eliminating the risk of coronary artery disease. Surrogate markers for coronary artery disease have emerged in efforts to detect disease at earlier stages, and in order to better understand the pathophysiology. For example, coronary artery calcium scoring is emerging as a marker of future risk of coronary artery disease. Risk stratification scores are increasingly used as tools to individualize a person’s future risk of coronary artery disease in order to better target treatment and prevention strategies.
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28

Bono, David P. De, and John D. Swales. Cardiovascular Risk Factors. C.V. Mosby, 1997.

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29

Gasparyan, Armen Yuri, ed. Cardiovascular Risk Factors. InTech, 2012. http://dx.doi.org/10.5772/1079.

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30

Kotseva, Kornelia, Neil Oldridge, and Massimo F. Piepoli. Evaluation of preventive cardiology. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656653.003.0026.

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The Joint European Societies guidelines on cardiovascular disease (CVD) prevention define lifestyle and risk factor targets for patients with coronary or other atherosclerotic disease and people at high risk of developing CVD. However, several surveys in Europe and the United States showed inadequate lifestyle and risk factor management and under-use of prophylactic drug therapies in primary and secondary CVD prevention. Various professional associations have developed core components, standards, and outcome measures to evaluate quality of care and provide guidelines for identifying opportunities for improvements. Optimal control of cardiovascular risk factors is one of the most effective methods for reducing vascular events in patients with atherosclerotic disease or high cardiovascular risk. Improving treatment adherence is also very important. Health-related quality of life (HRQL) is considered as an outcome measure in research studies and in clinical practice. HRQL measures can help in improving patient-clinician communication, screening, monitoring, and continuous assessment of quality of care.
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31

Kotseva, Kornelia, Neil Oldridge, and Massimo F. Piepoli. Evaluation of preventive cardiology. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199656653.003.0026_update_001.

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The Joint European Societies guidelines on cardiovascular disease (CVD) prevention define lifestyle and risk factor targets for patients with coronary or other atherosclerotic disease and people at high risk of developing CVD. However, several surveys in Europe and the United States showed inadequate lifestyle and risk factor management and under-use of prophylactic drug therapies in primary and secondary CVD prevention. Various professional associations have developed core components, standards, and outcome measures to evaluate quality of care and provide guidelines for identifying opportunities for improvements. Optimal control of cardiovascular risk factors is one of the most effective methods for reducing vascular events in patients with atherosclerotic disease or high cardiovascular risk. Improving treatment adherence is also very important. Health-related quality of life (HRQL) is considered as an outcome measure in research studies and in clinical practice. HRQL measures can help in improving patient-clinician communication, screening, monitoring, and continuous assessment of quality of care.
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32

Giuseffi, Jennifer, John McPherson, Chad Wagner, and E. Wesley Ely. Acute cognitive disorders: recognition and management of delirium in the cardiovascular intensive care unit. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0074.

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Delirium is the most common acute cognitive disorder seen in critically ill patients in the cardiovascular intensive care unit. It is defined as a disturbance of consciousness and cognition that develops suddenly and fluctuates over time. Delirious patients can become hyperactive, hypoactive, or both. The occurrence of delirium during hospitalization is associated with increased in-hospital and long-term morbidity and mortality. The cause of delirium is multifactorial and may include imbalances in neurotransmitters, inflammatory mediators, metabolic disturbances, impaired sleep, and the use of sedatives and analgesics. Patients with advanced age, dementia, chronic illness, extensive vascular disease, and low cardiac output are at particular risk of developing delirium. Specialized bedside assessment tools are now available to rapidly diagnose delirium, even in mechanically ventilated patients. Increased awareness of delirium risk factors, in addition to non-pharmacological and pharmacological treatments for delirium, can be effective in reducing the incidence of delirium in cardiac patients and in minimizing adverse outcomes, once delirium occurs.
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33

McPherson, John, Jennifer Giuseffi, Chad Wagner, and E. Wesley Ely. Acute cognitive disorders: recognition and management of delirium in the cardiovascular intensive care unit. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0074_update_001.

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Delirium is the most common acute cognitive disorder seen in critically ill patients in the cardiovascular intensive care unit. It is defined as a disturbance of consciousness and cognition that develops suddenly and fluctuates over time. Delirious patients can become hyperactive, hypoactive, or both. The occurrence of delirium during hospitalization is associated with increased in-hospital and long-term morbidity and mortality. The cause of delirium is multifactorial and may include imbalances in neurotransmitters, inflammatory mediators, metabolic disturbances, impaired sleep, and the use of sedatives and analgesics. Patients with advanced age, dementia, chronic illness, extensive vascular disease, and low cardiac output are at particular risk of developing delirium. Specialized bedside assessment tools are now available to rapidly diagnose delirium, even in mechanically ventilated patients. Increased awareness of delirium risk factors, in addition to non-pharmacological and pharmacological treatments for delirium, can be effective in reducing the incidence of delirium in cardiac patients and in minimizing adverse outcomes, once delirium occurs.
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34

Connolly, Susan, and Margaret E. Cupples. Community-based prevention centres. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656653.003.0025.

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The need for a new approach to cardiovascular disease prevention, both secondary and primary, that is different from traditional health service provision through hospital cardiac rehabilitation services and general practice is evident. The targets set in the cardiovascular prevention guidelines for modifiable cardiovascular risk factors-smoking, diet and physical activity, weight and its distribution, blood pressure, lipids, and diabetes-are not being adequately achieved for either coronary or other vascular patients or for those at high multifactorial risk of developing CVD. There is also evidence of an increasing disparity in levels of risk between different community groups, largely attributable to social determinants of health. Community-based prevention centres provide a novel approach to reducing cardiovascular risk, in which there is shared working between professionals and the public and a shared understanding of the barriers that individuals experience in their attempts to engage in effective measures for both secondary and primary prevention.
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35

(Editor), Neil Poulter, Simon Thom (Editor), and Peter Sever (Editor), eds. Cardiovascular Disease: Risk Factors & Intervention. Scovill-Paterson, 1993.

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36

1961-, Gaziano J. Michael, ed. Atlas of cardiovascular risk factors. Philadelphia: Developed by Current Medicine, 2005.

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37

Banerjee, Amitava, and Kaleab Asrress. Risk factors for cardiovascular disease. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0086.

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The most prevalent cardiovascular diseases (CVDs) are atherosclerotic, affecting all arterial territories. Epidemiologic studies such as the Framingham and INTERHEART studies have firmly established the commonest or ‘traditional’ risk factors for CVD; namely, smoking, hypertension, diabetes mellitus, hypercholesterolaemia, and a family history of CVD. The ‘risk-factors approach’ to CVD looks at these factors, individually and in combination, in the causation of disease. The complex causation pathways involve interplay of individual factors, whether genetic or environmental. More recently, there has been increasing interest in ‘epigenetics’ or the way in which the environment interacts with genes in the process underlying CVD. This chapter presents an analysis of the traditional and novel risk factors for CVD.
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38

Atlas of cardiovascular risk factors. Philadelphia, PA: Current Medicine, 2005.

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39

Cardiovascular Risk Factors [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.94673.

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40

Edun, Babatunde, Michelle K. Haas, Christopher Brendemuhl, Jason V. Baker, and Anthony C. Speights. Health Maintenance. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190493097.003.0012.

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The introduction of highly potent antiretroviral agents has transformed HIV from a disease with a once dismal prognosis to a manageable chronic medical condition. The primary care provider as well as the HIV care provider must focus on aspects of preventive medicine that improve the quality of life and life expectancy of the HIV-infected person. Accurate record-keeping is essential, and examples of HIV primary care flow sheets are presented in this chapter. In addition, tuberculosis screening indications and methods are reviewed. Regular preventative dental and gynecological care should be given. Reviewing the treatment of traditional cardiovascular risk factors with patients will be helpful in educating them and reducing the risk of cardiovascular disease.
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41

Neil, Poulter, Sever Peter S, and Thom Simon, eds. Cardiovascular disease: Risk factors and intervention. Oxford: Radcliffe Medical Press, 1993.

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42

Akira, Yamamoto, ed. Multiple risk factors in cardiovascular disease. Edinburgh: Churchill Livingstone, 1994.

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43

Wu, Wenbiao. Dietary Risk Factors of Cardiovascular Diseases. Nova Science Publishers, Incorporated, 2015.

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44

Clinician's Manual on Cardiovascular Risk Factors. Science Press Ltd, 1997.

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45

Atiq, Mehnaz, ed. Recent Advances in Cardiovascular Risk Factors. InTech, 2012. http://dx.doi.org/10.5772/2495.

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46

M, Gotto Antonio, ed. Multiple risk factors in cardiovascular disease. Dordrecht: Kluwer Academic Publishers, 1992.

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47

Gotto, Antonio M. Multiple Risk Factors in Cardiovascular Disease. Ingramcontent, 2012.

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48

Arrigo F. G. F. G. Cicero. Hypertension and Metabolic Cardiovascular Risk Factors. Springer, 2016.

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49

Albus, Christian, and Christoph Herrmann-Lingen. Behaviour and motivation. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656653.003.0009.

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Changing one’s lifestyle is difficult and adherence to medication in people at high cardiovascular risk and established cardiovascular disease is low. Lifestyle is usually based on longstanding patterns and is highly determined by social environment and socioeconomic status. Additional factors such as chronic stress, cognitive impairment, and negative emotions (e.g. depression, anxiety) further impede the ability to adopt a healthy lifestyle, as does complex or confusing advice by medical caregivers. In clinical practice, increased awareness of these factors will facilitate empathetic counselling and the provision of simple and explicit advice. Established cognitive-behavioural strategies are important tools to help with behaviour change and medication adherence. Specialized healthcare professionals (e.g. nurses, dieticians, psychologists) should be involved whenever necessary and feasible. Reducing dosage demands to the lowest applicable level is the single most effective means for enhancing adherence to medication.
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50

Albus, Christian, and Christoph Herrmann-Lingen. Behaviour and motivation. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199656653.003.0009_update_001.

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Changing one’s lifestyle is difficult and adherence to medication in people at high cardiovascular risk and established cardiovascular disease is low. Lifestyle is usually based on longstanding patterns and is highly determined by social environment and socioeconomic status. Additional factors such as chronic stress, cognitive impairment, and negative emotions (e.g. depression, anxiety) further impede the ability to adopt a healthy lifestyle, as does complex or confusing advice by medical caregivers. In clinical practice, increased awareness of these factors will facilitate empathetic counselling and the provision of simple and explicit advice. Established cognitive-behavioural strategies are important tools to help with behaviour change and medication adherence. Specialized healthcare professionals (e.g. nurses, dieticians, psychologists) should be involved whenever necessary and feasible. Reducing dosage demands to the lowest applicable level is the single most effective means for enhancing adherence to medication.
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