SciELO - Scientific Electronic Library Online

 
vol.90A Brief Overview of English Primary Care in the Last Half CenturyFuture Perspective of Pharmacoepidemiology in the "Big Data Era" and the Growth of Information Sources author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727

Abstract

ROYO-BORDONADA, Miguel Ángel et al. Spanish Adaptation of the 2016 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice. Rev. Esp. Salud Publica [online]. 2016, vol.90, e20009.  Epub June 07, 2021. ISSN 2173-9110.

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 1 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.

Keywords : Cardiovascular diseases; Practice Guidelines [Publication Type]; Hypertension; Diabetes mellitus; Cholesterol; Prevention and control; Tobacco; Alcohol drinking; Trans fatty acids.

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