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[Global cardiovascular risk: definition, evaluation and management strategies. Round table no. 1. XV]
Insights
Global cardiovascular risk assessment estimates disease probability, aiding prevention by considering multiple risk factors. This approach requires shared decision-making between patients and physicians for effective, long-term cardiovascular disease management.
Area of Science:
- Cardiovascular epidemiology
- Preventive medicine
- Public health
Context:
- Cardiovascular risk assessment has evolved over 50 years.
- It integrates multifactorial aspects of cardiovascular diseases.
- Implementation in clinical practice presents challenges.
Purpose:
- To explore the concept of global cardiovascular risk as a prevention tool.
- To address questions regarding risk estimation and clinical application.
- To examine the impact on healthcare systems and physician-patient relationships.
Summary:
- Global cardiovascular risk quantifies the likelihood of developing cardiovascular disease.
- This concept shifts focus from treatment to prevention through risk factor management.
- Effective implementation necessitates shared decision-making and sustained patient-physician collaboration.
Impact:
- Potential to modify physician-patient dynamics and treatment paradigms.
- Highlights the need for new strategies in cardiovascular disease management.
- Emphasizes the importance of patient-centered care and long-term adherence to preventive measures.
Abstract:
The global cardiovascular risk is the probability of developing a cardiovascular disease within a defined period of time, taking into account several risk factors simultaneously. Born 50 years ago with the analytical epidemiology of cardiovascular diseases, this concept may be considered today as a potential prevention tool integrating the multifactorial aspect of these diseases. Its implementation in clinical practice raises numerous questions related to its estimation, practical use and consequences for the health system. This new approach to cardiovascular diseases does not aim to cure a complaint but to try to avoid its appearance by means of restricting measures. This will modify the relationships between physician and patient and will imply major modifications of our treatment habits. For this strategy to be effective three main prerequisites are needed: management choices will have to be the result of a deal between the patient and the physician, the responsibility for decisions will be endorsed by both of them, and the actions should be maintained over time.