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PEDIATRICS Vol. 102 No. 5 November 1998, p. e61

ELECTRONIC ARTICLE:
Reduction of Cardiovascular Disease: What Is the Role of the Pediatrician?

Received Sep 10, 1998; accepted Sep 14, 1998.

Alan R. Sinaiko* and Ronald J. PrineasDagger

* Department of Pediatrics Dagger  Division of Epidemiology, School of Public Health University of Minnesota Medical School Minneapolis, MN 55405

It is apparent from the results of the 1995 and 1998 surveys reported by Kimm et al in this issue of Pediatrics that pediatricians are interested in blood pressure and lipids but uncertain about the management of these coronary heart disease (CHD) risk factors. Data from longitudinal epidemiologic studies initiated in pediatric cohorts support the important role for pediatricians in the detection of children at risk for CHD, and detection should be followed by effective intervention/treatment programs. However, the latter may be difficult in most office practices, because of the intensive effort by specialized personnel required to successfully reduce CHD risk.

 Key words:  coronary heart disease risk factors, hypertension, hyperlipidemia.


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