Obrová Jana, Jadrníčková Pavla, Václavík Jan
Vnitr Lek. 2022 Fall;68(5):295-302. doi: 10.36290/vnl.2022.063.
2021 ESC Guidelines on cardiovascular disease prevention in clinical practice provides a comprehensive view on preventive cardiology. It presents strategies to reduce the burden of atherosclerotic cardiovascular disease (CVD), both at the individual level and at the population level. Healthy lifestyle and aggressive control of cardiovascular risk factors remain the cornerstone of prevention. Classification of individuals into risk groups based on their clinical characteristics followed by a stepwise treatment-intensification is a novel recommended approach. Updated risk charts - SCORE2 and SCORE2-OP - are intended for estimation of 10-year fatal and non-fatal CVD risk in apparently healthy individuals. Targets and goals for LDL cholesterol, blood pressure, and glycaemic control remain as recommended in recent ESC Guidelines.
《2021年欧洲心脏病学会临床实践心血管疾病预防指南》对预防心脏病学提供了全面的观点。它提出了在个体层面和人群层面减轻动脉粥样硬化性心血管疾病(CVD)负担的策略。健康的生活方式和积极控制心血管危险因素仍然是预防的基石。根据个体的临床特征将其分为风险组,然后进行逐步强化治疗,这是一种新推荐的方法。更新后的风险图表——SCORE2和SCORE2-OP——旨在估计看似健康个体10年致命和非致命CVD风险。低密度脂蛋白胆固醇、血压和血糖控制的目标和指标仍如最近欧洲心脏病学会指南所推荐。