Guía Europea de Prevención Cardiovascular en la Práctica Clínica. Adaptación española del CEIPC 2008
- Lobos Bejarano, José María
- Royo Bordonada, Miguel Ángel
- Brotons Cuixart, Carlos
- Álvarez-Sala Walther, Luis Antonio
- Armario García, Pedro
- Maiques Galán, Antonio
- Mauricio Puente, Didac
- Sans Menéndez, Susana
- Villar Álvarez, Fernando
- Lizcano, Angel
- Gil Núñez, Antonio
- Álvaro Moreno, Fernando de
- Conthe Gutiérrez, Pedro
- Luengo, Emilio
- Río Ligorit, Alfonso del
- Cortés Rico, Olga
- Santiago Nocito, Ana María de
- Vargas, Miguel A.
- Martínez, Mercedes
- Lizarbe Alonso, Vicenta
ISSN: 0214-9168, 1578-1879
Year of publication: 2009
Volume: 21
Issue: 3
Pages: 124-150
Type: Article
More publications in: Clínica e investigación en arteriosclerosis
Abstract
The present CEIPC Spanish adaptation of the European Guidelines on Cardiovascular Disease Prevention in Clinical Practice 2008. This guide recommends the SCORE model for risk evaluation. The aim is to prevent premature mortality and morbidity due to CVD by means of dealing with its related risk factors in clinical practice. The guide focuses on primary prevention and emphasizes the role of the nurses and primary care doctors in promoting a healthy life style, based on increasing physical activity, changing dietary habits, and not smoking. The therapeutic goal is to achieve a Blood Pressure < 140/90 mmHg, but in patients with diabetes, chronic kidney disease, or definite CVD, the objective is < 130/80 mmHg. Serum cholesterol should be < 200 mg/dl and cLDL < 130 mg/dl, although in patients with CVD or diabetes, the objective is < 100 mg/dl (80 mg/dl if feasible in very high-risk patients). Patients with type 2 diabetes and those with metabolic syndrome must lose weight and increase their physical activity, and drugs must be administered whenever applicable, with the objective guided by body mass index and waist circumference. In diabetic type 2 patients, the objective is glycated haemoglobin < 7%. Allowing people to know the guides and developing implementation programs, identifying barriers and seeking solutions for them, are priorities for the CEIPC in order to put the recommendations into practice.