SciELO - Scientific Electronic Library Online

vol.90Breve visión de los principales protagonistas de la Escuela Inglesa de Atención Primaria durante el último medio sigloPerspectiva futura de la farmacoepidemiología en la era del "Big data" y la expansión de las fuentes de información índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Revista Española de Salud Pública

versión On-line ISSN 2173-9110versión impresa ISSN 1135-5727


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 07-Jun-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.

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

        · resumen en Español     · texto en Español     · Español ( pdf )