Orozco-Beltrán Domingo, Brotons-Cuixart Carlos, Banegas José R, Gil-Guillen Vicente F, Cebrián-Cuenca Ana M, Martín-Rioboó Enrique, Jordá-Baldó Ariana, Vicuña Johanna, Navarro-Pérez Jorge
Medicina Familiar y Comunitaria, Unidad de Investigación CS Cabo Huertas, Departamento San Juan de Alicante. Departamento de Medicina Clínica. Centro de Investigación en Atención Primaria. Universidad Miguel Hernández, San Juan de Alicante, España.
Medicina Familiar y Comunitaria. Institut de Recerca Sant Pau (IR SANT PAU). Equipo de Atención Primaria Sardenya, Barcelona, España.
Aten Primaria. 2024 Nov;56 Suppl 1(Suppl 1):103123. doi: 10.1016/j.aprim.2024.103123.
The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of vascular diseases (VD) are presented. New in this edition are new sections such as obesity, chronic kidney disease and metabolic hepatic steatosis, as well as a 'Don't Do' section in the different pathologies treated. The sections have been updated: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; vascular risk (VR) 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.
本文介绍了西班牙心血管病学会预防活动与健康促进项目(PAPPS)针对血管疾病(VD)预防的建议。此版本的新内容包括肥胖、慢性肾脏病和代谢性肝脂肪变性等新章节,以及在不同治疗病症中设置的“不要做”章节。各章节已更新:流行病学综述,描述了西班牙心血管疾病当前的发病率和死亡率及其演变情况以及主要风险因素;血管风险(VR)和心血管风险计算建议;主要风险因素,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。