Spanish adaptation of the 2016 European Guidelines on cardiovascular disease prevention in clinical practice
Por:
Royo-Bordonada, MA, Armario, P, Bejarano, JML, Pedro-Botet, J, Alvarez, FV, Elosua, R, Cuixart, CB, Cortes, O, Serrano, B, Babkowski, MC, Nunez, AG, Perez, A, Maiques, A, Nocito, AD, de Castro, A, Alegria, E, Baeza, C, Herranz, M, Sans, S, Campos, P
Publicada:
1 may 2017
Resumen:
The VI European Guidelines for Cardiovascular Prevention recommend combining population and high risk strategies with lifestyle changes as a cornerstone of prevention, and propose the SCORE function to quantify cardiovascular risk. The guidelines highlight disease specific interventions, and conditions as women, young people and ethnic minorities. Screening for subclinical atherosclerosis with noninvasive imaging techniques is not recommended. The guidelines distinguish four risk levels (very high, high, moderate and low) with therapeutic objectives for lipid control according to risk. Diabetes mellitus confers a high risk, except for subjects with type 2 diabetes with less than <10 years of evolution, without other risk factors or complications, or type I diabetes of short evolution without complications. The decision to start pharmacological treatment of arterial hypertension will depend on the blood pressure level and the cardiovascular risk, taking into account the lesion of target organs. The guidelines don't recommend antiplatelet drugs in primary prevention because of the increased bleeding risk. The low adherence to the medication requires simplified therapeutic regimes and to identify and combat its causes. The guidelines highlight the responsibility of health professionals to take an active role in advocating evidence-based interventions at the population level, and propose effective interventions, at individual and population level, to promote a healthy diet, the practice of physical activity, the cessation of smoking and the protection against alcohol abuse. (C) 2017 Published by Elsevier Espana, S.L.U. on behalf of SESPAS.
Filiaciones:
Royo-Bordonada, MA:
Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain
Armario, P:
Soc Espanola Hipertens Liga Espanola Lucha HTA, Madrid, Spain
Bejarano, JML:
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Pedro-Botet, J:
Soc Espanola Arteriosclerosis, Madrid, Spain
Alvarez, FV:
Soc Espanola Arteriosclerosis, Madrid, Spain
Elosua, R:
Soc Espanola Epidemiol, Madrid, Spain
Cuixart, CB:
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Cortes, O:
Asociac Espanola Pediat Atenc Primaria, Madrid, Spain
Serrano, B:
Soc Espanola Med & Seguridad Trabajo, Madrid, Spain
Babkowski, MC:
Soc Espanola Med Interna, Madrid, Spain
Nunez, AG:
Soc Espanola Neurol, Madrid, Spain
Perez, A:
Soc Espanola Diabet, Madrid, Spain
Maiques, A:
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Nocito, AD:
Soc Espanola Med Atenc Primaria SEMERGEN, Madrid, Spain
de Castro, A:
Soc Espanola Cardiol, Madrid, Spain
Alegria, E:
Soc Espanola Cardiol, Madrid, Spain
Baeza, C:
Soc Espanola Angiol & Cirugia Vasc, Madrid, Spain
Herranz, M:
Federac Asociac Enfermeria Comunitaria & Atenc Pr, Madrid, Spain
Sans, S:
Soc Espanola Salud Publ & Adm Sanitaria, Madrid, Spain
Campos, P:
Serv Sociales & Igualdad, Minist Sanidad, Madrid, Spain
Gold
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