Sabio Rodrigo, Valdez Pascual, Nachón María Natalia, Arias Claudia, Nitsch Montiel Carlos, Penny Eduardo, Melgar Cuellar Felipe, Araya Fonseca Carlos, Montúfar Guardado Ruben, Cotignola Águeda, Odzak Andrea, Franchella Jorge, Bisso Aland, Duran Maritza, Palencia Vizcarra Rodolfo, Gómez Huelgas Ricardo, Rodríguez Wesley, Milione Hugo, Parodi Roberto, Buchaca Faxas Emilio, Rojas Orellana Luis, Fortuna Peralta María Lucía, Coral Cristaldo Cinthia, Ortellado José, Diez Manglano Jesús, Barrios Juan, Jiménez María Cristina, Gutiérrez Tudela James, Bruno Gustavo, Contreras Mónchez Jorge, Payaslián Silvio, Pollán Javier, Hernández Helí, Vaucher Andrea, Betancourt Isis, Codina Helga, Celauro Hugo, Cortese Silvia, Risso Marina, Puello Homero, Casariego Emilio, Díaz Salazar Lorenzo, García Peña Rosalía, Indacochea-Cáceda Sonia, García-Carrión Luis, Murillo Salvatierra Evelyn, Mirofsky Matías, Andrade Gabriela, Savia Adolfo, Canda Paula, Cárdenas Alejandro, Rodríguez Hurtado Diana, Chimeno Viñas Monserrat, Patiño Mario, Gómez Mendoza Rubén, Arbo Gustavo, Romano Horacio J, Sánchez Cabezas Alejandra, Abuabara Turbay Yazmín, Hiza Roxana, Campos Luis, Do Patrocinio Tenorio Nunes María, Santos Lelita, Salazar Matos Virginia, Espinosa Tatiana, González Ruiz Díaz Jorge, Carrasco Santiago, Romani Adriana, Escalera Lourdes, Palencia Díaz Rodolfo, Giaccaglia Gabriela, Galarza Nuñez Jose, Román Sánchez Pilar, Costanzo Mariana, Garay Tamara Sandra, Rodriguez García Jorge, Bellini Oscar, Ruiz Cantero Alberto, Cámera Luis, Serra Valdés Miguel, Ledesma Raul, Blanco Aspiazu Miguel, Mejía Terrero Altagracia, Arango Álvarez José Javier, Cárcamo De Villatoro Karen Elizabeth, Castillo Fernández Omar, Monteghirfo Raquel, Galarza Carlos, Somoza Federico, Schejtman Alejandro, Perez Bismarck, Marconi Agustina, Cabrera Rayo Alfredo
Sociedad Argentina de Medicina, Buenos Aires, Argentina. E-mail:
Sociedad Argentina de Medicina, Buenos Aires, Argentina.
Medicina (B Aires). 2023 Jan 10;83 Suppl 1:1-53.
Cardiovascular diseases (CVD), mainly ischemic heart disease and stroke, is the main cause of death worldwide and each year more people die from CVD than from any other cause. These data call for a paradigm shift, where health promotion and cardiovascular prevention will acquire a central role in health policies. From this perspective, dedicating time during the consultation to promoting the acquisition of heart-healthy habits would be indicated in all individuals, regardless of cardiovascular risk classification, the role of the internist being fundamental. This position document from the International Forum of Internal Medicine (FIMI) presents the main indications regarding changes in lifestyle and acquisition of healthy habits to prevent CVD. The different sections will address topics including: nutrition, physical activity, sedentary lifestyle, obesity, smoking, alcohol consumption, sleep, stress, environmental problems related to CVD and specific conditions in women. A section is included about starting CVD promotion and prevention measures at an early age, childhood and adolescence, also mentioning epigenetic aspects related to CVD. Social determinants in CVD are also taken into account, since some of these aspects, such as low socioeconomic level, modify cardiovascular risk and should be taken into account.
心血管疾病（CVD），主要是缺血性心脏病和中风，是全球主要的死亡原因，每年死于心血管疾病的人数超过死于任何其他原因的人数。这些数据呼吁范式转变，即健康促进和心血管疾病预防将在卫生政策中发挥核心作用。从这个角度来看，无论心血管疾病风险分类如何，在所有个体的会诊过程中花时间促进养成有益心脏健康的习惯都是必要的，内科医生的作用至关重要。国际内科医学论坛（FIMI）的这份立场文件提出了关于改变生活方式和养成健康习惯以预防心血管疾病的主要建议。不同章节将涉及以下主题：营养、体育活动、久坐不动的生活方式、肥胖、吸烟、饮酒、睡眠、压力、与心血管疾病相关的环境问题以及女性的特定情况。其中包含一个关于在儿童期和青少年期尽早开始心血管疾病促进和预防措施的章节，还提及了与心血管疾病相关的表观遗传学方面。心血管疾病中的社会决定因素也被考虑在内，因为其中一些因素，如社会经济水平低，会改变心血管疾病风险，应予以考虑。
