[Brakes and levers of mobilization concerning cardiovascular prevention].
It is widely known that epidemiological studies have identified several major cardiovascular risk factors, such as hypertension, smoking, diabetes mellitus, and hypercholesterolaemia. It is also widely known that the management of these factors leads to a reduction of cardiovascular morbidity and mortality, and the benefit on global mortality has been demonstrated very recently. It is relatively easy to ensure effective secondary cardiovascular prevention, as the patients are generally fairly motivated, but it is much more difficult to ensure effective primary prevention, as the subjects concerned are in good health and need to be convinced of the value of preventive measures. Primary prevention must be based on better information of patients and physicians, warning them against certain denigration campaigns, such as those designed to minimize the role of lipid abnormalities in the pathogenesis of atherosclerosis and to falsely reassure our countrymen with the famous French paradox. This discussion concerning the difficulty and importance of primary cardiovascular prevention concludes with several concrete proposals.
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Service d'Endocrinologie-Métabolisme, Groupe Hospitalier Pitié-Salpêtrière, Paris.
D000293:Adolescent; D000328:Adult; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D002648:Child; D005602:France; D006266:Health Education; D006293:Health Promotion; D006801:Humans
Freins et leviers de la mobilisation concernant la prévention cardio-vasculaire.