Improved Detection of Coronary Artery Disease by Stress Perfusion Cardiovascular Magnetic Resonance With the Use of Delayed Enhancement Infarction Imaging

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• 作者：Igor Klem ; John F. Heitner ; Dipan J. Shah ; Michael H. Sketch ; Jr ; Victor Behar ; Jonathan Weinsaft ; Peter Cawley ; Michele Parker ; Michael Elliott ; Robert M. Judd ; Raymond J. Kim
• 关键词：AHA Scientific Statements ; coronary disease ; vascular diseases ; risk factors ; prevention
• 刊名：Journal of the American College of Cardiology
• 出版年：2006
• 出版时间：18 April 2006
• 年：2006
• 卷：47
• 期：8
• 页码：1630-1638
• 全文大小：256 K

文摘

Evidence from cohort studies and a randomized clinical trial indicates that annual vaccination against seasonal influenza prevents cardiovascular morbidity and all-cause mortality in patients with cardiovascular conditions. The American Heart Association and American College of Cardiology recommend influenza immunization with inactivated vaccine (administered intramuscularly) as part of comprehensive secondary prevention in persons with coronary and other atherosclerotic vascular disease (Class I, Level B). Immunization with live, attenuated vaccine (administered intranasally) is contraindicated for persons with cardiovascular conditions. It is important to note that influenza vaccination coverage levels overall and in this population remain well below national goals and are marked by disparities across different age and ethnic groups. One of the barriers to vaccination for patients with cardiovascular disease is that cardiology practices frequently do not stock and administer influenza vaccine. Healthcare providers who treat individuals with cardiovascular disease can help improve influenza vaccination coverage rates by providing and strongly recommending vaccination to their patients before and throughout the influenza season.