Vascular risk assessment and management

Paola Bigolin1,2, Beniamino Zalunardo1, Lucia Mazzolai3,4,5

  • 1Angiology Unit, Azienda ULSS 2 Marca Trevigiana, Castelfranco Veneto, Italy.

Insights

This study introduces an integrated care pathway model to aid healthcare professionals in managing atherosclerotic cardiovascular disease. It enhances clinical decision-making for cardiovascular risk stratification, particularly for high-risk patients.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Practice Guidelines

Background:

  • Atherosclerotic cardiovascular disease is a primary global cause of illness and death.
  • Effective management strategies are crucial for reducing morbidity and mortality.
  • Implementing evidence-based guidelines into clinical practice remains a challenge.

Purpose of the Study:

  • To provide a decision-making tool for health professionals in daily practice.
  • To facilitate the implementation of clinical guidelines for cardiovascular disease.
  • To improve the management of atherosclerotic cardiovascular disease.

Main Methods:

  • Development of an integrated care pathway (ICP) model.
  • Incorporation of European Society of Cardiology (ESC)/European Atherosclerosis Society (EAS) Guidelines.
  • Utilizing algorithms for multifactorial cardiovascular risk evaluation and stratification.

Main Results:

  • The ICP model supports multifactorial global cardiovascular risk assessment.
  • It provides revised cardiovascular risk stratification, focusing on high- and very-high-risk patients.
  • The model aligns with current ESC/EAS guidelines.

Conclusions:

  • Multidimensional and integrated actions are key to minimizing cardiovascular disease impact.
  • The ICP aims to enhance the quality and consistency of vascular prevention.
  • Implementation leads to more optimal clinical decisions for cardiovascular health.

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