Zusammenfassung
In den Industrienationen ist die koronare Herzkrankheit (KHK) die häufigste Todesursache. Daher ist die Prävention der KHK eine wichtige gesundheitspolitische Aufgabe. Bei der Primärprävention geht es um die Verhütung kardiovaskulärer Ereignisse vor der klinischen Manifestation, bei der Sekundärprävention um die Verhütung weiterer Ereignisse bei Patienten mit bereits manifester KHK. Bei der Primärprävention unterscheidet man die Hochrisikostrategie von der Bevökerungsstrategie. Im ersten Fall sollen Menschen mit stark erhöhtem kardiovaskulären Risiko (z.B. Diabetiker, genetisch Belastete) identifiziert werden, um sie gezielt einer geeigneten Therapie zuzuführen. Im anderen Fall wird die gesamte Bevölkerung über häufige und vermeidbare Risikofaktoren (z.B. Rauchen, Übergewicht, Fehlernährung, Bewegungsarmut) aufgeklärt und zu deren Beseitigung bzw. Korrektur motiviert [12, 25, 33].
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von Eckardstein, A., Schulte, H., Assmann, G. (2002). Risikofaktoren der KHK und Möglichkeiten ihrer Reduzierung. In: Brachmann, J., Medau, H.J. (eds) Die koronare Herzkrankheit der Frau. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57534-1_7
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DOI: https://doi.org/10.1007/978-3-642-57534-1_7
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