The Medical clinics of North America
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Med. Clin. North Am. · Mar 2022
ReviewRace and Modifiable Factors Influencing Cardiovascular Disease.
A modern approach to mitigating the impact of cardiovascular disease on Americans demands not only an understanding of modifiable conditions that contribute to its development but also a greater appreciation of the heterogeneous distribution of these conditions based on race. As race is not a biological construct, further research is needed to fully elucidate the mechanisms that contribute to these differences. The consequences of the differential impact of modifiable risk factors on cardiovascular disease outcomes among black Americans compared with white Americans cannot be understated.
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Med. Clin. North Am. · Mar 2022
ReviewWomen's Cardiovascular Health: Selecting the Best Contraception.
Basic knowledge about contraceptive types, efficacy, and indications is absolutely necessary for cardiologists caring for reproductive-age women for whom pregnancy could cause significant morbidity or mortality and for those on teratogenic medications. This summary provides a comprehensive overview of contraception options.
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Med. Clin. North Am. · Mar 2022
ReviewThe Role of Physical Activity and Exercise in Preventive Cardiology.
The cardiovascular epidemiologist, Jeremy Morris, called physical activity "the best bargain in public health," but few clinicians use exercise and physical activity in their practice. Clinicians should routinely inquire about physical activity and recommend that patients achieve the minimal levels recommended by the 2018 Physical Activity Guidelines for Americans. ⋯ Patients after myocardial infarction, cardiac surgery, or the diagnosis of heart failure or claudication should be referred to an exercise-based cardiac rehab program. Physical activity and exercise training may be a clinical bargain, but as all medicines must be used to be effective.