Section: Module 3: Primary Prevention and Risk Factor Management | Adult Cardiovascular Disease Prevention | NextGenU.org

  • Competencies covered in this module:
    • Manage individuals with multifactorial cardiovascular risk profiles.
    • Manage a patient with non-traditional cardiovascular risk factors.
    • Use cardiopulmonary exercise testing for diagnosis, risk stratification and exercise prescription.
    • Appraise and apply the use of cardiovascular risk assessment tools in clinical practice and discuss the utility of emerging tools for cardiovascular risk assessment, including imaging techniques.
    • Module 3: Lesson 1: Multifactorial Cardiovascular Risk Profiles

      Student Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Explain the importance and use of risk estimation.

      • Describe various successful risk estimation tools in CVD prevention.

      • Define precision medicine and deep phenotyping.

      • Explain the relationship between precision medicine, deep phenotyping, and clinical decision-making.

      • Explain how success is measured in prevention programs.

      • Describe factors that determine program success.

      • Describe successful CVD prevention programs across various settings.

      • Relate the social determinants of health to CV health.

      Approximate time required for the readings for this lesson (at 144 words/minute): 10 hours and 36minutes.

      Required Learning Resources and Activities
    • Read the entire article. (25 minutes)

      2020

    • Read the entire article. (35 minutes)

      European Heart Journal. - 2020

    • Read the content under the following headings: (33 minutes)
      - Abstract
      - Genetic Basis of Inherited Cardiovascular Disease
      - Modes of Genetic Inheritance
      - Types of Genetic Variations
      - Approach to Cardiac Genetic Testing
      - Analysis and Interpretation of Genetic Data
      - Role of Functional Genomics in V

      Journal of the American College of Cardiology2021

    • Read under headlines: (10 minutes)
      - What is a Phenotype?
      - Why “Deep” Phenotyping?
       

      NIH 2012

    • Read the content under the following headings: (16 minutes)
      - Clinical Utility of Cardiac Genetic Testing
      - Recent Developments in the Field
      - Ethical, Legal, and Societal Implications
      - Conclusions

      Journal of the American College of Cardiology 2021

    • Read the entire page. (28 minutes)

      NIH 2014

    • Read the entire article. (31 minutes)

      2019

    • Read the following sections: (35 minutes)
      -Evidence–Practice Gaps in the Prevention and Management of CVD
      -Barriers to Evidence-Based and Efficient CVD Management
      -Targets for Resource-Effective Strategies
      -Resource-Effective Strategies to Prevent and Manage CVD.

    • Read the entire article. (35 minutes)

      2022

    • Read the entire article. (40 minutes)

      2021

    • General Instructions: In this activity, you will review and recall criteria and concepts about cardiac risks and their estimation, distinguish between vital concepts such as precision medicine, deep phenotyping, and clinical decision-making, and recognize the components that make a prevention program successful.

      Review the four essential points of the case and answer the fifth question based on the clinical case.

      Step 1 - Review: Consider the following scenario:

      Clinical Case: A 45-year-old female patient presents to the clinic for a routine check-up. She has no current complaints but has a family history of heart disease. The physician, Dr. McRife, decides to assess her cardiovascular risk using various risk estimation tools.

      Dr. McRife explains to the patient the importance of estimating her risk for cardiovascular disease (CVD) to implement preventative measures and reduce her chances of developing heart disease.

      Dr. McRife uses various risk estimation tools, such as the Framingham Risk Score and the American College of Cardiology/American Heart Association Pooled Cohort Equations, to assess the patient’s risk for CVD. These tools consider age, sex, blood pressure, cholesterol levels, and smoking status to estimate the patient’s 10-year risk for developing CVD.

      Dr. McRife also discusses with the patient the potential benefits of precision medicine and deep phenotyping in clinical decision-making. By using advanced technologies to gather detailed information about the patient’s genetics, lifestyle, and environment, the physician can tailor prevention and treatment strategies to the patient’s unique needs.

      Based on the results of the risk estimation tools and the patient’s characteristics, the physician recommends a CVD prevention program that includes lifestyle changes such as healthy eating, regular exercise, and smoking cessation. The physician also discusses successful CVD prevention programs that have been implemented in various settings, such as community clinics and workplace wellness programs.

      Step 2 - Respond: Answer the following questions based on Dr. McRife's actions:

      • Explain why estimating your risk for CVD is essential.
      • Describe some of the risk estimation tools used in CVD prevention.
      • Explain the relationship between precision medicine, deep phenotyping, and clinical decision-making.
      • How can advanced technologies be used to gather detailed information about a person’s genetics, lifestyle, and environment?
      • How can this information be used to tailor prevention and treatment strategies for CVD?

      Step 3 - Share: To share your work, click the "Add a new discussion topic" button under this post and paste your work into the "Message" box. Remember to reference others' intellectual property when necessary. Make sure all references follow the 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (Note: references are excluded from word counts).

      Step 4 - Interact: To complete the activity, you must reply to at least two posts made by your peers in a respectful and professional manner. Make sure your post engages with your peers' ideas by reflecting on their comments, sharing ideas about potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your post, please reply. To post a reply, click "Reply" on a specific discussion, write your feedback, then click "Post to forum."

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • Recommended Additional Readings

    • Read the entire article. (8 minutes)

      American College of Cardiology 2020

    • Module 3: Lesson 2: Managing Non-traditional Cardiovascular Risk Factors

      Student Learning Outcomes:

      Upon completion of this lesson, you will be able to:

      • Identify non-traditional CV risk factors.

      • Identify diseases with elevated CV risk: chronic kidney disease, chronic obstructive pulmonary disease, congenital heart disease, inflammatory disease, migraine with aura, erectile dysfunction, preeclampsia, gestational diabetes and sleep disorders.

      • Discuss the importance of addressing non-traditional CV risk factors.

      • Explain strategies for addressing non-traditional CV risk factors.

      • Discuss difficulties in addressing non-traditional CV risk factors.

      • Describe methods of investigation of individuals with non-traditional CV risk factors.

      • Explain the management techniques for individuals with non-traditional CV risk factors.

      • Identify clinical complications in patients with non-traditional CV risk factors.

      • Explore the management strategies for clinical complications in patients with non-traditional CV risk factors.

      • Identify the main laboratory tests for assessing CV risks.

      • Explain when the need for a referral or collaboration may arise for assessing CV risk.

      • Interpret laboratory test results useful for assessing CV risks.

      • Explain the importance of consulting laboratory testing when planning personal health strategies.

      • Describe effective communication strategies when dealing with patients and their families.

      • Describe effective communication skills when collaborating with colleagues, including advocating for patients and negotiating.

      Approximate time required for the readings for this lesson (at 144 words/minute): 19 hours and 8 minutes.

      Required Learning Resources and Activities
    • Read the following sections: (100 minutes)
      Introduction,
      What Are Disease Risk Factors and What Are Biomarkers?,
      Traditional Risk Factors,
      CVD Risk Factors,
      Biomarkers, and Childhood,
      and Conclusions
      .
       

      2011

    • Read under headline: (30 minutes)
      - Pathophysiology of CVD in CKD
      - Nontraditional Risk Factors of Vascular Disease in CKD.
      - Therapy of cardiovascular disease in CKD
    • Reading entire article. (45 minutes)

      PMC - 2018

    • Read the entire article. (10 minutes)

      Mayo Clinic - 2021

    • Read the entire article. (25 minutes)

    • Read the entire article. (10 minutes)

      Neurology Advisory - 2021

    • Read the entire article. (18 minutes)

      JAMA - 2018

    • Read the entire article and download and read the PDF complete. (40 minutes)

      U.S. Preventive services. - 2018

    • Read the entire article. (16 minutes)

      European Society of Cardiology. - 2021

    • Reading under headlines: (44 minutes)
      - "Abstract
      -Introduction
      -Methods
      -Box. Definitions of Risk Prediction Measures Included for KQ2
      -Results
      -Discussion
      -Conclusions"
       

      U.S. Preventive Services. - 2018

    • Read the sections under "Treatment Approaches Based on Risk" and "Current Recommendations and Clinical Practice in the United States" (6 minutes)

      NIH

    • Read the entire article. (12 minutes)

      American College of Cardiology Foundation - 2019

    • Read the entire article. (13 minutes)

      Testing.com - 2021

    • Read the entire article. (13 minutes)

      2021

    • Read the entire article. (23 minutes)

      2022

    • General Instructions: In this activity, you will review and recall concepts about preventive medicine, drug dosage, and the necessity to adjust it, considering age, gender, and non-traditional risk factors. Furthermore, be aware of the significance of laboratory testing when planning personal health strategies.

      Review the clinical case and answer the subsequent five questions.

      Step 1 - Review: Carefully read the following scenario and answer the questions accordingly.

      Patient Information: Samantha, a 45-year-old woman, visits your clinic for a routine check-up. Although she has a family history of heart disease, she considers herself healthy. Her lifestyle is sedentary; she works long hours at a desk job, experiences high stress levels, and has a diet high in processed foods and added sugars. As part of her routine evaluation, you note that her Ankle Brachial Index Test (ABI) score is >1.3, and her hsCRP is 0.286. A tomographic calcium score study shows extracoronary calcification at the level of the aortic valve, mitral annulus, and descending aorta, yielding a score of 101-300 AU, indicating moderate calcification.

      Step 2 - Respond:

      Answer the following questions based on Samantha's case:

      • Differentiate and list common and uncommon risk factors.
      • Explain her traditional risk factors, such as family history, sedentary lifestyle, and poor diet. Educate her on the lifestyle and dietary modifications that can help mitigate these risks. Consider medication options if necessary.
      • What risk estimation tool that considers non-traditional risk factors can you use for this patient?
      • What laboratory testing can help identify and monitor non-traditional and traditional cardiovascular disease risk factors?
      • How can laboratory results be used to plan personal health strategies and monitor the patient?

      Step 3 - Share: To share your work, click the "Add a new discussion topic" button under this post and paste your work into the "Message" box. Remember to reference others' intellectual property when necessary. All references should follow the 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (Note: references are excluded from word counts).

      Step 4 - Interact: To complete the activity, you must reply to at least two posts made by your peers in a respectful and professional manner. Ensure your post engages with your peers' ideas by reflecting on their comments, sharing ideas on other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your post, please reply. To post a reply, click "Reply" on a specific discussion, write your feedback, then click "Post to forum."

      OPTIONAL Step 5: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

    • Recommended Additional Readings