Cardiovascular prevention: sometimes dreams can come true

Area of Science:

• Cardiology
• Preventive Medicine
• Public Health

Background:

• Cardiovascular disease (CVD) is a major chronic condition influenced by multiple factors, with prevention being key as treatments plateau.
• The COVID-19 pandemic highlighted limitations in current healthcare systems, especially in preventive medicine.
• Recent advancements include SCORE2 risk prediction algorithms and updated prevention guidelines.

Purpose of the Study:

• To envision a future model for cardiovascular disease (CVD) prevention.
• To explore innovative concepts and paradigms for proactive CVD risk management.
• To outline necessary steps for achieving an ideal CVD prevention system.

Main Methods:

• Review of current CVD prevention strategies and emerging technologies.
• Discussion of novel concepts such as genetically personalized risk factors and cardiac risk cartography.
• Analysis of the exposome and economic factors in CVD prevention.

Main Results:

• The current healthcare system needs to transition from a 'sick' to a 'healthy' model.
• Integration of advanced technologies is crucial for effective CVD prevention.
• A 'care health team' approach, acting as a 'clearing house', is proposed over traditional 'heart teams'.

Conclusions:

• A future-oriented, personalized, and technology-integrated approach is essential for effective CVD prevention.
• Shifting focus to a proactive, 'healthy' system is vital.
• Achieving this vision requires addressing specific, articulated points for systemic change.