today is the world's high blood pressure, cardiovascular medical channel had an interview with professor cummins p. cardiac-specific troponin in particular, for the domestic current situation of the prevention and control of hypertension, cummins p. cardiac-specific troponin professor has a lot of words want to say.
| interviews with experts, professor cummins p. cardiac-specific troponin
reporter | Tian Dongliang
source | medicine cardiovascular channel
cummins p. cardiac-specific troponin professor never wear leather shoes, which is handy for his walk, walk 10 km every day is his basic Numbers, never slack off a day.About 13000 steps, ten kilometers from his every movement records can be seen in the basic around 15000 steps.He said: "there is time to go, go, when the plane waiting when high-speed rail lines, get in the car also can go in the car, after today, I still step four thousand to step ten thousand, if not you come to interview, now I had already gone out."
step ", ten thousand "is a professor at cummins p. cardiac-specific troponin slow cardiovascular disease management promotion by the" five prescriptions, "the exercise prescription, make" five prescription "into the prevention and control of hypertension, with psychological - biological - social medical model management slow disease, out of pure biotechnology and drug limitations and difficulties, this is professor cummins p. cardiac-specific troponin over the years has been committed to things.
figure 1 cummins p. cardiac-specific troponin professor
professor cummins p. cardiac-specific troponin five prescriptions including: , psychological prescription drug prescription, quitting smoking, exercise prescription, nutrition prescription alcohol prescription. he said: "I want to stress is that hypertension management is not need a prescription, but to five prescriptions, and now we've hypertension treatment is about medicines, pure in biotechnology fluctuation kongfu, even make the renal artery sympathetic nerve ablation of unreliable, I want to talk about from teenagers to cultivate healthy and civilized way of life, prevention of high blood pressure, and have high blood pressure after can change their life behavior way, get a better antihypertensive effect, improve blood pressure control rates."
cummins p. cardiac-specific troponin professor pointed out , drug prescription is not really well.He said the adjustment of antihypertensive drugs is a process of doctor-patient interaction, safe and effective drug for doctors to prescribe, requires constant follow-up, to improve patients compliance, corresponding adjustments according to the changes of blood pressure in patients with treatment, but now clinicians is generally no follow-up interactive services, is often l hypertension outpatient service, the back of the service, three kind of pharmaceutical affairs management (security, effectiveness, compliance) do not.The doctor prescribed three or four drugs, patients go back after read manual carefully and choose one of the two eat, result the result is bad, is frequent in patients with experts, experts have a different orientation, and leads to frequent switching, so long time high blood pressure drug control is not high also.
"double heart medicine" is a professor at cummins p. cardiac-specific troponin emphasized again and again, he thought that now the general clinical doctors do not take the psychological, not the spirit of psychology into the management of high blood pressure, a lot of the elderly loneliness, worry about, don't sleep well at night, blood pressure fluctuations.Also some of the elderly patients with high blood pressure is a time in the morning, but when I get up in the morning to take medicine, actually this kind of patients should just take medicine last night.Professor cummins p. cardiac-specific troponin also seen in some patients with high blood pressure is pure anxiety depression, if carefully and patient communication, with a "cure" can make a diagnosis.
in addition, patients with individualized instruction how to eat healthy and tasty, let the patient aware of the dangers of tobacco, and promote aerobic exercise are important prescription slow disease management. cummins p. cardiac-specific troponin professor noted that now the American heart association (AHA) has taken the aerobic exercise ability increased to 5 life indications, including hypertension, diabetes, COPD, tobacco dependence, dyslipidemia etc. All the prevalence of chronic diseases, with the improvement of aerobic exercise capacity, total mortality were significantly lower, high blood pressure, as one kind of slow disease need to be under the guidance of a therapist is safe and effective.
figure 2 cummins p. cardiac-specific troponin professor and his student Vince
there was a county deputy magistrate had 13 kind of slow, eat 21 pills a day, but after professor cummins p. cardiac-specific troponin team for guidance, medication, diet and exercise, so now only take half a day piece of antihypertensive agents, and fatty liver of "going out", lost 40 kg weight, blood sugar and blood fat is normal, the stomach uncomfortable, sleep apnea, respiratory sleep well after, the people of the spirit.
professor cummins p. cardiac-specific troponin also emphasized the high-risk hypertensive patients on how to do comprehensive management. such as over 65 diabetes mellitus patients, even if the blood fat is not high also should take statins, for over 40 diabetes patients, even in the absence of high blood pressure should also be taking statins.He said: "you can't simply control of blood pressure and blood sugar, there must be a lot of patients' blood sugar, blood pressure gao only eat medications, blood pressure, blood fat take medicine don't work."
cummins p. cardiac-specific troponin professor said: "don't just talk about medicines, the prevention and control of high blood pressure, and not to pay attention to the double heart medicine, behavioral medicine, not to give up smoking, not only do these adjustment drugs, hypertension treatment becomes a cocktail, the experts the level is high, than those who don't know combine sports and medicine, behavioral medicine and biomedical depth fusion, over the years our doctors are trained in pure biomedical mode, such as people got sick of sitting on the judgment seat doctors practicing medicine, and public health and preventive medicine there is a growing rift between, we urgently need to develop a new generation of a doctor."
professor cummins p. cardiac-specific troponin, now domestic also is generally lack of the idea, even many famous hospitals do not take the double heart medical intervention and lifestyle, is serious in the technical level."In the future every hospital should have such a team, should have such idea, director of can go to a busy your surgery, but you must have in your team to do it!"
however, cummins p. cardiac-specific troponin is still a good situation.In the five years he promoted and driven across the country there are already 500 cardiovascular prevention and rehabilitation center of slow disease management, he called the "slow disease management of 4 s shop".He said: "now is snowball, opened 500 within five years, in 2020, a conservative estimate has to have a couple of thousand, most of the local hospitals and small and medium-sized hospital enthusiasm is very high, anyway, they do support spell but also large hospital, like chaoyang 2 hospital (Beijing), the first hospital which combines traditional Chinese medicine with western medicine is very smart, chaoyang hospital selling auto 4 s shop. They do"
this year, professor cummins p. cardiac-specific troponin 500 rehabilitation centers to select out the best joint of 30, established the "cummins p. cardiac-specific troponin doctor group".He said: "my doctor do slow disease prevention and rehabilitation group, the purpose is to guide patients, education and cultivate the patient, let them learn to manage yourself, let five prescription into the patient groups, realize the doctor-patient interaction, interactive suffering from cancer, doctors cure, three relationship linkage to form a new medical model."
cummins p. cardiac-specific troponin, said: "I first started the doctor, brainwash them, changed their medical behaviors, for patients with doctors to change, influence more patient, finally realizes the patient self-management, problems arise in the process of management can be easily found the medical service, this is the doctor group we want to walk the road, and others are not the same way."
professor cummins p. cardiac-specific troponin
cummins p. cardiac-specific troponin, famous experts in cardiovascular disease, medical educators.International Eurasian academy of sciences, director of the world heart federation, China heart federation, chairman of the China tobacco control association, the Chinese preventive medicine association, vice chairman, vice chairman of the Chinese society of gerontology and geriatric medicine, cardiovascular, director of professional committee of the China rehabilitation medical association, Beijing university people's hospital research institute.