Abstract

ARMARIO, Pedro et al. Statement of the Spanish Interdisciplinary Vascular Prevention Committee on the updated European Cardiovascular Prevention Guidelines. Angiología [online]. 2020, vol.72, n.spe1, pp.1-30.  Epub Jan 04, 2021. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00214.

We present the adaptation for Spain of the updated European Cardiovascular Prevention Guidelines. In this update, greater stress is laid on the population approach, and especially on the promotion of physical activity and healthy diet through dietary, leisure and active transport policies in Spain. To estimate vascular risk, note should be made of the importance of recalibrating the tables used, by adapting them to population shifts in the prevalence of risk factors and incidence of vascular diseases, with particular attention to the role of chronic kidney disease.

At an individual level, the key element is personalized support for changes in behaviour, adherence to medication in high-risk individuals and patients with vascular disease, the fostering of physical activity, and cessation of smoking habit. Furthermore, recent clinical trials with PCSK9 inhibitors are reviewed, along with the need to simplify pharmacological treatment of arterial hypertension to improve control and adherence to treatment.

In the case of patients with type 2 diabetes mellitus and vascular disease or high vascular disease risk, when lifestyle changes and metformin are inadequate, the use of drugs with proven vascular benefit should be prioritized.

Lastly, guidelines on peripheral arterial disease and other specific diseases are included, as is a recommendation against prescribing antiaggregants in primary prevention.

The objective of the present work is to carry out an updated review of the literature in order to help improve the knowledge of this pathology.

Keywords : Prevention and control; Vascular diseases; Clinical practice guidelines; Healthy diet; Arterial hypertension; Diabetes; Lipid control; Smoking.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )