Corrà Ugo, Piepoli Massimo F
1 Division of Cardiology, Istituti Clinici Scientifici Maugeri, Italy.
2 Cardiology Department, Polichirurgico Hospital G Da Saliceto, Italy.
Eur J Prev Cardiol. 2017 Jun;24(3_suppl):14-21. doi: 10.1177/2047487317704978.
The Sixth Joint Task Force of the European Society of Cardiology (ESC) and Other Societies on Cardiovascular Disease Prevention in Clinical Practice Guidelines have been published in 2016: greater emphasis has been placed on a population-based approach, on disease-specific interventions and on female-specific conditions, younger individuals and ethnic minorities. The ESC guidelines underscore that a lifetime approach to cardiovascular risk is important as both risk and prevention are dynamic and continuous. The guidelines can assist healthcare professionals, patients, and are valuable for the healthcare system but implementation of secondary cardiovascular disease prevention is far from optimal. Although there is no single way to ensure the use of guidelines in practice, multifaceted interventions based on known barriers are most appropriate. Essential components for implementation are: (a) taking action; (b) strengthening capacity; (c) evaluating impact; (d) advancing policy; and (e) engaging in regional and global partnerships. The strategy depends on a balanced investment in all available intervention approaches, from policy and environmental changes designed to prevent risk factors to assurance of quality care for individuals with cardiovascular disease. Our greatest challenges represent our greatest opportunities.
欧洲心脏病学会（ESC）及其他学会关于临床实践指南中心血管疾病预防的第六联合工作组已于2016年发布：更加注重基于人群的方法、针对特定疾病的干预措施以及针对女性特定情况、年轻个体和少数民族的措施。ESC指南强调，由于风险和预防都是动态且持续的，因此采用终生心血管风险方法很重要。这些指南可帮助医疗保健专业人员、患者，对医疗保健系统也很有价值，但二级心血管疾病预防的实施远未达到最佳状态。虽然没有单一方法可确保在实践中使用指南，但基于已知障碍的多方面干预最为合适。实施的基本要素包括：（a）采取行动；（b）加强能力；（c）评估影响；（d）推进政策；（e）参与区域和全球伙伴关系。该战略取决于对所有可用干预方法进行平衡投资，从旨在预防风险因素的政策和环境变化到为心血管疾病患者提供优质护理的保障。我们最大的挑战代表着我们最大的机遇。
