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[意大利心血管疾病预防共识文件及建议 - 2018年]

[Consensus document and recommendations for the prevention of cardiovascular disease in Italy - 2018].

作者信息

Volpe Massimo, Tocci Giuliano, Accettura Domenico, Battistoni Allegra, Bellone Simonetta, Bellotti Paolo, Bertolotti Marco, Borghi Claudio, Casasco Maurizio, Consoli Agostino, Coppini Raffaele, Corsini Alberto, Costanzo Gianfranco, Desideri Giovambattista, Ferri Claudio, Galanti Giorgio, Giada Franco, Icardi Giancarlo, Lombardi Niccolò, Modena Maria Grazia, Modesti Pietro Amedeo, Monti Giorgio, Mugelli Alessandro, Orsi Andrea, Parati Gianfranco, Pedretti Roberto F.E., Perseghin Gianluca, Pirro Matteo, Ricotti Roberta, Rizzoni Damiano, Rotella Carlo, Rubattu Speranza, Salvetti Guido, Sarto Patrizio, Tassinari Federico, Trimarco Bruno, de Kreutzenberg Saula Vigili, Volpe Roberto

机构信息

UOC di Cardiologia, Facoltà di Medicina e Psicologia, Sapienza Università di Roma, Azienda Ospedaliero-Universitaria S. Andrea, Roma

IRCCS Neuromed, Pozzilli (IS)

出版信息

G Ital Cardiol (Rome). 2018 Feb;19(2 Suppl 1):1S-95S. doi: 10.1714/2874.28988.

Abstract

Cardiovascular prevention represents a cornerstone of modern strategies to reduce the burden of cardiovascular disease. It is of key importance to prevent cardiovascular diseases and associated events, not only to reduce morbidity and mortality, but also to increase the years of wellness in the aging population and to make the growing socio-economic burden imposed by cardiovascular events more sustainable.The current approach to prevention is based on an integrated use of effective lifestyle measures and, whenever appropriate, of antihypertensive and antidiabetic drugs, lipid-lowering agents and antiplatelet drugs.Given that population characteristics, in terms of ethnicity, demography and lifestyle habits, and healthcare system organizations differ among countries, international guidelines are not always applicable to specific countries and, often, are difficult to translate into daily clinical practice.In order to afford the specific features of Italy, 10 Scientific Societies and Research Institutions, mostly involved in preventive strategies, contributed to the present Italian consensus document, which includes brief, practical recommendations to support the preventive actions within the physician community and the general practice setting.

摘要

心血管疾病预防是现代减轻心血管疾病负担策略的基石。预防心血管疾病及其相关事件至关重要,这不仅能降低发病率和死亡率,还能增加老年人群的健康年数,并使心血管事件带来的日益增长的社会经济负担更具可持续性。当前的预防方法基于综合运用有效的生活方式措施,并在适当情况下使用抗高血压药、抗糖尿病药、降脂药和抗血小板药。鉴于不同国家在种族、人口统计学和生活习惯等人群特征以及医疗保健系统组织方面存在差异,国际指南并不总是适用于特定国家,而且往往难以转化为日常临床实践。为了适应意大利的具体情况,10个主要参与预防策略的科学协会和研究机构为这份意大利共识文件做出了贡献,该文件包含简短、实用的建议,以支持医师群体和全科医疗环境中的预防行动。

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