[心血管预防建议。PAPPS 2022主题更新。PAPPS工作组]

Orozco-Beltrán Domingo, Brotons Cuixart Carlos, Banegas Banegas Jose R, Gil Guillén Vicente F, Cebrián Cuenca Ana M, Martín Rioboó Enrique, Jordá Baldó Ariana, Vicuña Johanna, Navarro Pérez Jorge

Medicina Familiar y Comunitaria, Unidad de Investigación Centro de Salud Cabo Huertas, Departamento San Juan de Alicante. Departamento de Medicina Clínica, Universidad Miguel Hernández, San Juan de Alicante, España.

Medicina Familiar y Comunitaria. Instituto de Investigación Biomédica (IIB) Sant Pau. Equipo de Atención Primaria Sardenya, Barcelona, España.

Aten Primaria. 2022 Oct;54 Suppl 1(Suppl 1):102444. doi: 10.1016/j.aprim.2022.102444.

The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; cardiovascular (CV) risk and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.

本文介绍了西班牙基础医学教育与继续医学教育体系（semFYC）预防活动与健康促进项目（PAPPS）针对心血管疾病（CVD）预防的建议。内容包括以下几个部分：流行病学综述，描述了西班牙目前心血管疾病的发病率、死亡率及其演变情况以及主要危险因素；心血管（CV）风险及CV风险计算建议；主要危险因素，如动脉高血压、血脂异常和糖尿病，阐述了其诊断方法、治疗目标以及生活方式措施和药物治疗建议；抗血小板治疗指征、心房颤动筛查建议以及慢性病管理建议。主要建议中包含了检测质量和推荐强度。