[European Guidelines on Cardiovascular Disease Prevention in Clinical Practice: CEIPC 2008 Spanish adaptation].
We present the Spanish adaptation from the CEIPC 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 medical doctors in promoting a healthy life style, based on increasing physical activity, change dietary habits, and non smoking. The therapeutic goal is to achieve a Blood Pressure <140/90 mmHg, but among 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 among 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 BMI -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.
Lobos
José M
JM
Sociedad Española de Medicina de Familia y Comunitaria. jmlobos@telefonica.net
Royo-Bordonada
Miguel A
MA
Brotons
Carlos
C
Alvarez-Sala
Luís
L
Armario
Pedro
P
Maiques
Antonio
A
Mauricio
Dídac
D
Sans
Susana
S
Villar
Fernando
F
Lizcano
Angel
A
Gil-Núñez
Antonio
A
Alvaro
Fernando de
Fd
Conthe
Pedro
P
Luengo
Emilio
E
Río
Alfonso Del
AD
Cortés-Rico
Olga
O
Santiago
Ana de
Ad
Vargas
Miguel A
MA
Martínez
Mercedes
M
Lizarbe
Vicenta
V
D000328:Adult; D000367:Age Factors; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000401:mortality / Q000517:prevention & control*; D002784:Cholesterol / Q000097:blood; D004032:Diet; D005060:Europe; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013030:Spain
D002784:Cholesterol