title: [Dyslipidemias: a pending challenge in cardiovascular prevention. Consensus document from CEIPC/SEA Committee].
abstract: In Spain, where cardiovascular disease (CVD) is the leading cause of death, hypercholesterolemia, one of the most prevalent risk factors in adults, is poorly controlled. Dyslipidemia should not be approached in isolation, but in the context of overall cardiovascular risk (CVR). Measurement of CVR facilitates decision making, but should not be the only tool nor should it take the place of clinical judgment, given the limitations of the available calculation methods. This document, prepared by the Interdisciplinary Spanish Committee on Cardiovascular Prevention, at the proposal of the Spanish Society of Arteriosclerosis, reviews the cardiovascular prevention activities of the regional health authorities, scientific societies and medical professionals. An initiation of a national strategy on cardiovascular prevention is proposed based on lifestyle modification (healthy diet, physical activity and smoking cessation) through actions in different settings. At the population level, regulation of food advertising, elimination of trans fats and reduction of added sugar are feasible and cost-effective interventions to help control dyslipidemias and reduce CVR. In the health setting, it is proposed to facilitate the application of guidelines, improve training for medical professionals, and include CVR assessment among the quality indicators. Scientific societies should collaborate with the health authorities and contribute to the generation and transmission of knowledge. Finally, it is in the hands of professionals to apply the concept of CVR, promote healthy lifestyles, and make efficient use of available pharmacological treatments.
authors.affiliation: Instituto de Salud Carlos III, Madrid, España. mroyo@isciii.es
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Royo Bordonada
authors.forename: José María
authors.initials: JM
authors.lastname: Lobos Bejarano
authors.forename: Jesús
authors.initials: J
authors.lastname: Millán Núñez-Cortés
authors.forename: Fernando
authors.initials: F
authors.lastname: Villar Álvarez
authors.forename: Carlos
authors.initials: C
authors.lastname: Brotons Cuixart
authors.forename: Miguel
authors.initials: M
authors.lastname: Camafort Babkowski
authors.forename: Carlos
authors.initials: C
authors.lastname: Guijarro Herráiz
authors.forename: Carmen
authors.initials: C
authors.lastname: de Pablo Zarzosa
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet Montoya
authors.forename: Ana de
authors.initials: Ad
authors.lastname: Santiago Nocito
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D050171:Dyslipidemias / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D013030:Spain