[European Guidelines on Cardiovascular Disease Prevention in Clinical Practice. CEIPC 2008 Spanish Adaptation].
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<140/90mmHg, but in patients with diabetes, chronic kidney disease, or definite CVD, the objective is<130/80mmHg. Serum cholesterol should be<200mg/dl and cLDL<130mg/dl, although in patients with CVD or diabetes, the objective is<100mg/dl (80mg/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.
Lobos Bejarano
José M A
JM
Coordinador Científico CEIPC, Sociedad Española de Medicina de Familia y Comunitaria, España.
Royo-Bordonada
Miguel Angel
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
de Alvaro
Fernando
F
Conthe
Pedro
P
Luengo
Emilio
E
Del Río
Alfonso
A
Cortés
Olga
O
de Santiago
Ana
A
Vargas
Miguel A
MA
Martínez
Mercedes
M
Lizarbe
Vicenta
V
D002318:Cardiovascular Diseases / Q000517:prevention & control*; D006801:Humans