Lifestyle and risk factor results clearly demonstrate a challenging gap between what is recommended in scientific guidelines and what is achieved in daily practice in high risk individuals in primary prevention of CVD.
Primary prevention needs a comprehensive, multidisciplinary approach involving the high-risk population, their GP’s and other health professionals, a health insurance system dedicated to prevention and all this complemented by a population strategy involving the community at large.
The European Society of Cardiology together with other partner Societies has engaged in a comprehensive programme of prevention of cardiovascular disease (CVD) since 1994. Guidelines on this important topic have been developed and updated at regular intervals over the last 13 years, most recently in 2007. The implementation of these guidelines is facilitated by the Joint European Prevention Committee and the new European Association for Cardiovascular Prevention and Rehabilitation through a network of national coordinators all over Europe.
Results are evaluated with audit surveys called EUROASPIRE starting in the mid-nineties with EUROASPIRE I, EUROASPIRE II at the turn of the millennium and EUROASPIRE III in 2006/07. This third EUROASPIRE survey has evaluated how effectively these recommendations have been implemented in daily practice in relation to the standards set in the Third Joint European Task Force guidelines on CVD prevention in 2003.
All three EUROASPIRE surveys have evaluated how patients with established CVD, who are the top clinical priority, are being managed, but in this third survey, the second priority group of asymptomatic individuals who are at high risk of developing CVD have been addressed. These apparently healthy individuals are at increased total CV risk because of markedly raised levels of blood pressure, cholesterol or the development of diabetes.
This “primary care arm” of EUROASPIRE III took place in 12 European countries in close collaboration with General Practitioners. Asymptomatic subjects, free of CVD, were identified and invited to participate if they fulfilled the following conditions:
Volunteers were seen by trained technicians for an interview and examination using standardised methods and central laboratory measurement of lipids and glucose.
A total of 4,366 individuals participated (78% of all eligible patients): 58% females, mean age approximately 60 years. 2,853 were on drug treatment for arterial hypertension, 1529 on lipid lowering drugs and 1,031 were treated for type 2 diabetes.
Smoking of tobacco was still prevalent in 16.5% of all subjects, even in 30% of men = 25 Kg/m2) and most were centrally obese as well.Blood pressure was not within guideline recommended limits (BP
These lifestyle and risk factor results clearly demonstrate a challenging gap between what is recommended in the guidelines based on scientific evidence and what is achieved in daily practice in high risk individuals in primary prevention of CVD. Primary prevention needs a comprehensive, multidisciplinary approach involving the high-risk population, their GP’s and other health professionals, a health insurance system dedicated to prevention and all this complemented by a population strategy involving the community at large.
Jacqueline Partarrieu | alfa
Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology
16.08.2017 | BIAS - Bremer Institut für angewandte Strahltechnik GmbH
Sustainability is the business model of tomorrow
04.08.2017 | Technische Universität Chemnitz
Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.
As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...
Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.
Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...
For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.
While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...
An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.
The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...
A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.
Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...
16.08.2017 | Event News
04.08.2017 | Event News
26.07.2017 | Event News
22.08.2017 | Health and Medicine
22.08.2017 | Materials Sciences
22.08.2017 | Life Sciences