PDF(Pubmed)
Abstract：
Cardiovascular diseases (CVD) are a major public health concern in the Caribbean. Cardiovascular care in the Caribbean revealed encouraging improvements but still less than expectations. This study aims to gain insight into CVD and identify gaps in cardiovascular care in the Caribbean compared to high-income countries. More specifically, this review reports on the epidemiology, CVD risk factors, management practices, and patient outcomes (quality of life (QOL) and mortality). A systematic review of peer-reviewed articles was conducted to assess the CVD of individuals in the Caribbean from 1959 to 2022.Using multiple search engines and keywords, a systematic review of relevant peer-reviewed CVD articles was conducted using the necessary inclusion and exclusion criteria. Relevant data of studies were classified by title, publication year, location, type and size of samples, and results. Further analysis grouped patients by epidemiological profile, CVD risk, management, and selected outcomes (quality of life and inpatient mortality). From the initial review of 1,553 articles, 36 were analyzed from Trinidad and Tobago (20), Barbados (4), Jamaica (7), along with the Bahamas (2), British Virgin Islands (1), Bonaire (1), and one article from a Caribbean study. The social environment of fast food, sedentary jobs, and stress determinants are postulated to be precursors for an increase in CV risks. CVD in the Caribbean reveals a high prevalence of CV risks, suboptimal care, poor compliance, and high inpatient mortality compared with high-income countries. Greater efforts are required to improve CVD care at all stages, including in the social environment.
摘要：
心血管疾病（CVD）是加勒比地区主要的公共卫生问题。加勒比地区的心血管护理显示出令人鼓舞的改善，但仍低于预期。这项研究旨在深入了解心血管疾病，并确定与高收入国家相比，加勒比地区在心血管护理方面的差距。更具体地说,这篇综述报道了流行病学，CVD危险因素,管理实践，和患者预后（生活质量（QOL）和死亡率）。对同行评审的文章进行了系统评价，以评估1959年至2022年加勒比地区个人的心血管疾病。使用多个搜索引擎和关键字，采用必要的纳入和排除标准,对相关同行评审的CVD文章进行了系统评价.研究的相关数据按标题分类，出版年份,location,样品的类型和大小，和结果。进一步分析按流行病学概况对患者进行分组，CVD风险,管理,和选定的结局（生活质量和住院死亡率）。从对1553篇文章的初步审查来看，36来自特立尼达和多巴哥(20)，巴巴多斯(4)牙买加(7)与巴哈马（2），英属维尔京群岛(1),博内尔（1），和一篇来自加勒比海研究的文章。快餐的社会环境，久坐的工作，压力决定因素被认为是CV风险增加的前兆。加勒比地区的心血管疾病揭示了心血管风险的高患病率，次优护理，合规性差，与高收入国家相比，住院死亡率高。需要做出更大的努力来改善所有阶段的CVD护理，包括社会环境。
