title: Statement of the Spanish Interdisciplinary Cardiovascular Prevention Committee (CEIPC for its Spanish acronym) on the 2012 European Cardiovascular Prevention Guidelines.
abstract: Based on the two main frameworks for evaluating scientific evidence (SEC and GRADE) European cardiovascular prevention guidelines recommend interventions across all life stages using a combination of population-based and high-risk strategies with diet as the cornerstone of prevention. The evaluation of cardiovascular risk (CVR) incorporates HDL levels and psychosocial factors, a very high risk category, and the concept of age-risk. They also recommend cognitive-behavioural methods (e.g., motivational interviewing, psychological interventions) led by health professionals and with the participation of the patient's family, to counterbalance psychosocial stress and reduce CVR through the institution of positive habits such as a healthy diet, physical activity, smoking cessation, and adherence to treatment. Additionally, public health interventions - such as smoking ban in public areas or the elimination of trans fatty acids from the food chain - are also essential. Other innovations include abandoning antiplatelet therapy in primary prevention and the recommendation of maintaining blood pressure within the 130-139/80-85 mmHg range in diabetic patients and individuals with high CVR. Finally, due to the significant impact on patient progress and medical costs, special emphasis is given to the low therapeutic adherence levels observed. In sum, improving cardiovascular prevention requires a true partnership among the political class, public administrations, scientific and professional associations, health foundations, consumer associations, patients and their families. Such partnership would promote population-based and individual strategies by taking advantage of the broad spectrum of scientific evidence available, from clinical trials to observational studies and mathematical models to evaluate population-based interventions, including cost-effectiveness analyses.
authors: Instituto de Salud Carlos III, España.
authors: M A
authors: MA
authors: Royo-Bordonada
authors: Sociedad Española de Medicina de Familia y Comunitaria, España.
authors: J M
authors: JM
authors: Lobos Bejarano
authors: Sociedad Española de Arteriosclerosis, España.
authors: F
authors: F
authors: Villar Alvarez
authors: Sociedad Española de Salud Pública y Administración Sanitaria, España.
authors: S
authors: S
authors: Sans
authors: Sociedad Española de Diabetes, España.
authors: A
authors: A
authors: Pérez
authors: Sociedad Española de Arteriosclerosis, España. Electronic address: 86620@parcdesalutmar.cat.
authors: J
authors: J
authors: Pedro-Botet
authors: Sociedad Española de Angiología y Cirugía Vascular, España.
authors: R M
authors: RM
authors: Moreno Carriles
authors: Sociedad Española de Medicina de Familia y Comunitaria, España.
authors: A
authors: A
authors: Maiques
authors: Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria, España.
authors: Á
authors: Á
authors: Lizcano
authors: Ministerio de Sanidad, Servicios Sociales e Igualdad, España.
authors: V
authors: V
authors: Lizarbe
authors: Sociedad Española de Neurología, España.
authors: A
authors: A
authors: Gil Núñez
authors: Sociedad Española de Medicina y Seguridad en el Trabajo, España.
authors: F
authors: F
authors: Fornés Ubeda
authors: Sociedad Española de Epidemiología, España.
authors: R
authors: R
authors: Elosua
authors: Sociedad Española de Médicos de Atención Primaria-Semergen, España.
authors: A
authors: A
authors: de Santiago Nocito
authors: Sociedad Española de Cardiología, España.
authors: C
authors: C
authors: de Pablo Zarzosa
authors: Sociedad Española de Nefrología, España.
authors: F
authors: F
authors: de Álvaro Moreno
authors: Asociación Española de Pediatría de Atención Primaria, España.
authors: O
authors: O
authors: Cortés
authors: Sociedad Española de Cardiología, España.
authors: A
authors: A
authors: Cordero
authors: Sociedad Española de Medicina Interna, España.
authors: M
authors: M
authors: Camafort Babkowski
authors: Sociedad Española de Medicina de Familia y Comunitaria, España.
authors: C
authors: C
authors: Brotons Cuixart
authors: Sociedad Española de Hipertensión-Liga Española de la Lucha Contra la HTA, España.
authors: P
authors: P
authors: Armario
mesh_terms: D000375:Aging; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D006293:Health Promotion; D006801:Humans; D011315:Preventive Medicine; D011322:Primary Prevention; D018570:Risk Assessment; D012308:Risk Management; D013030:Spain
keywords: Cardiovascular diseases; Cardiovascular prevention; Cardiovascular risk; Clinical practice guidelines; Enfermedades cardiovasculares; Guías de práctica clínica; Prevención cardiovascular; Riesgo cardiovascular