Diseases affecting the heart or blood vessels are highly prevalent among people experiencing homelessness. Among the cardiovascular diseases most commonly seen by primary care providers serving homeless individuals are hypertension (high blood pressure), hyperlipidemia (high cholesterol and triglycerides) and heart failure (impaired cardiac function, which often results from uncontrolled hypertension and/or hyperlipidemia). Metabolic syndrome—including hypertension, elevated triglycerides, increased abdominal fat, low HDL, and elevated fasting blood glucose— increases the risk for cardiovascular disease even further. An additional complication is the risk of hyperglycemia due to atypical and second generation anti-psychotic medications that many homeless people may be taking.
Adapting Your Practice: Treatment Recommendations for Homeless Patients with Hypertension, Hyperlipidemia and Heart Failure
Categories:
Cardiovascular Disease, Chronic Disease, Clinical Practice