Update on cardiovascular prevention in clinical practice: A position paper of the European Association of Preventive Cardiology of the European Society of Cardiology

Author:

Piepoli Massimo F12,Abreu Ana3,Albus Christian4,Ambrosetti Marco5,Brotons Carlos6,Catapano Alberico L7,Corra Ugo8,Cosyns Bernard9,Deaton Christi10,Graham Ian11,Hoes Arno12,Lochen Maja-Lisa13,Matrone Benedetta1,Redon Josep14,Sattar Naveed15,Smulders Yvo12,Tiberi Monica16

Affiliation:

1. Department of Cardiology, Polichirurgico Hospital G Da Saliceto, Italy

2. Institute of Life Sciences, Sant’Anna School of Advanced Studies, Italy

3. Serviço de Cardiologia, Universidade de Lisboa, Portugal

4. Department of Pshychosomatics and Psychotherapy, University of Cologne, Germany

5. Department of Cardiac Rehabilitation, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Pavia, Italy

6. Biomedical Research Institute Sant Pau Research Unit, Sardenya Primary Health Care Center, Spain

7. Department of Pharmacological and Biomolecular Sciences, Università degli studi di Milano, Italy

8. Department of Cardiac Rehabilitation, Istituti Clinici Scientifici Maugeri IRCCS, Institute of Veruno, Italy

9. Department of Cardiology, Universitair Ziekenhuis Brussel, Belgium

10. Department of Public Health and Primary Care, University of Cambridge, UK

11. Cardiovascular Medicine, Trinity College Dublin, Ireland

12. Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands

13. Department of Community Medicine, UiT the Artic University of Norway, Norway

14. INCLIVA Research Institute, University of Valencia, Spain

15. Institute of Cardiovascular and Medical Sciences, University of Glasgow, UK

16. Azienda Sanitaria Unica Regionale, Italy

Abstract

European guidelines on cardiovascular prevention in clinical practice were first published in 1994 and have been regularly updated, most recently in 2016, by the Sixth European Joint Task Force. Given the amount of new information that has become available since then, components from the task force and experts from the European Association of Preventive Cardiology of the European Society of Cardiology were invited to provide a summary and critical review of the most important new studies and evidence since the latest guidelines were published. The structure of the document follows that of the previous document and has six parts: Introduction (epidemiology and cost effectiveness); Cardiovascular risk; How to intervene at the population level; How to intervene at the individual level; Disease-specific interventions; and Settings: where to intervene? In fact, in keeping with the guidelines, greater emphasis has been put on a population-based approach and on disease-specific interventions, avoiding re-interpretation of information already and previously considered. Finally, the presence of several gaps in the knowledge is highlighted.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Epidemiology

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