[Management of cardiovascular diseases in adults from 1999 to 2014: what has really changed?]

Area of Science:

• Cardiology
• Endocrinology
• General Practice

Context:

• Numerous clinical guidelines for cardiovascular risk factor management are published annually.
• Significant variations exist between different sets of recommendations.
• Ambulatory clinical practice, particularly family medicine, is impacted by these evolving guidelines.

Purpose:

• To analyze the evolution of clinical practice guidelines for managing diabetes, dyslipidemia, and high blood pressure.
• To compare US and European recommendations between 1999 and 2014.
• To identify key changes and consistencies in cardiovascular risk management strategies over a 15-year period.

Summary:

• This article provides a historical review of US and European guidelines for managing diabetes, dyslipidemia, and high blood pressure from 1999 to 2014.
• It highlights significant differences observed between various recommendations and tracks the evolution of these guidelines.
• The study aims to clarify what has substantially changed in clinical practice over this timeframe.

Impact:

• Provides clarity on the evolution of cardiovascular risk management strategies.
• Assists healthcare professionals, especially in family medicine, in navigating guideline changes.
• Informs future guideline development by identifying trends and discrepancies in cardiovascular care recommendations.