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Updated: May 20, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
[Means and objectives of primary prevention in patients at high cardiovascular risk]
1AP-HP, hôpital européen Georges-Pompidou, centre de médecine préventive cardiovasculaire 75908 Paris Cedex 15. marie-emmanuelle.sirieix-h@egp.aphp.fr
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.
Abstract:
Since thirty years, cardiovascular mortality fell. That is linked, on the one hand, to an earlier and a more harsh care of the acute accident, and on the other hand, to development of the prophylactic treatment. But cardiovascular diseases stay the main cause of death in the most of western countries, in France in women, and in subjects over 65 years. That's why it is necessary to detect people with a high cardio-vascular risk before any complications so that they can be treated earlier and with an intensive mode. It relates to a global risk which is multifactorial, conducting to a treatment based on the evidence based medicine but also fitting to each patient and which requires his participation to the prevention. This is a 4P physical medicine: predictive, preventive, personalized and participative.
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