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The Questions on Everyone's Mind: What is and Why Do We Need Preventive Cardiology?

Tahir Mahmood1, Michael D Shapiro2

  • 1Oregon Health & Science University, Portland, Oregon, US.

Methodist Debakey Cardiovascular Journal
|November 26, 2021
PubMed

Insights

Atherosclerotic cardiovascular disease (ASCVD) remains a major global health threat. Shifting focus from treating existing disease to proactive preventive cardiology is crucial to reduce future morbidity and mortality.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is the primary cause of death globally.
  • While ASCVD mortality has decreased due to better treatments, this trend may reverse.
  • Current strategies focus on treating established disease, impacting quality of life.

Purpose of the Study:

  • To highlight the urgent need for a paradigm shift towards prevention in cardiology.
  • To explore the potential of establishing preventive cardiology as a distinct discipline.
  • To define strategies for implementing preventive cardiology effectively.

Main Methods:

  • This is a review article, synthesizing current evidence and expert opinion.
  • Analysis of trends in ASCVD morbidity and mortality.
  • Discussion of the opportunities and challenges in preventive cardiology.

Main Results:

  • Significant reductions in ASCVD mortality have been achieved through treatment, not solely prevention.
  • Evidence suggests a potential increase in ASCVD mortality rates in the US.
  • A substantial opportunity exists to implement preventive cardiology.

Conclusions:

  • A transition from intervention to prevention is necessary for cardiovascular health.
  • Preventive cardiology offers a promising framework to address the ASCVD burden.
  • Proactive strategies are essential to combat the rising tide of cardiovascular disease.

Keywords:
atherosclerotic cardiovascular diseasediabetesdyslipidemiahypertensionmedical subspecialtyobesitypreventive cardiologyrisk assessment

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