[Means and objectives of primary prevention in patients at high cardiovascular risk]

Marie-Emmanuelle Sirieix1

  • 1AP-HP, hôpital européen Georges-Pompidou, centre de médecine préventive cardiovasculaire 75908 Paris Cedex 15. marie-emmanuelle.sirieix-h@egp.aphp.fr

La Revue Du Praticien
|July 31, 2012
PubMed

Insights

Cardiovascular mortality has decreased due to better acute care and preventive treatments. However, cardiovascular diseases remain a leading cause of death, necessitating early detection and personalized, participatory prevention strategies.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Context:

  • Cardiovascular diseases (CVDs) are a primary cause of mortality in Western countries, particularly affecting women and individuals over 65.
  • Despite a decline in cardiovascular mortality over the past three decades, CVDs remain a significant public health concern.

Purpose:

  • To emphasize the necessity of early detection and intensive treatment for individuals at high cardiovascular risk.
  • To introduce the concept of 4P medicine (predictive, preventive, personalized, and participatory) for managing multifactorial cardiovascular risk.

Summary:

  • Cardiovascular mortality has declined due to advancements in acute care and prophylactic treatments.
  • Early identification of high-risk individuals is crucial for timely and intensive intervention.
  • A multifactorial approach to cardiovascular risk management, incorporating evidence-based medicine and patient-centered care, is essential.

Impact:

  • Promotes a shift towards proactive and individualized cardiovascular disease management.
  • Highlights the importance of patient engagement in prevention strategies.
  • Aims to further reduce cardiovascular mortality and morbidity through a comprehensive 4P medicine model.

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