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A 360° perspective on cardiovascular prevention: the International Lipid Expert Panel SiMple tIps for the heaLthy
Maciej Banach1,2,3, Federica Fogacci4, Atanas G Atanasov5,6,7
1Center for Atherosclerosis and Cardiovascular Diseases Prevention, Collegium Medicum, John Paul II Catholic University of Lublin, Lublin, Poland.
Insights
Cardiovascular disease remains a global threat due to ineffective prevention strategies. The ILEP-SMILE initiative offers a comprehensive population approach to improve cardiovascular health and reduce disease burden.
Area of Science:
- Cardiology
- Preventive Medicine
- Public Health
Background:
- Cardiovascular disease (CVD), especially atherosclerotic CVD (ASCVD), is the leading cause of global mortality.
- Current prevention strategies and medications are insufficient to prevent ASCVD events and complications.
- Limited healthcare budgets and fragmented primary prevention programs hinder effective CVD risk reduction.
Purpose of the Study:
- To introduce the International Lipid Expert Panel SiMple tIps for the heaLthy hEart (ILEP-SMILE) initiative.
- To propose a comprehensive population-based approach for preventing cardiovascular disease.
- To emphasize the importance of education and adherence in managing cardiovascular health.
Main Methods:
- Implementing a comprehensive population approach for cardiovascular disease prevention.
- Integrating early and effective health education into prevention programs.
- Addressing recognized and often overlooked risk factors, including lipoprotein(a), sleep disturbances, alcohol consumption, and stress.
- Focusing on improving patient adherence to lifestyle changes and treatments.
Main Results:
- The ILEP-SMILE initiative provides a holistic strategy to combat cardiovascular disease.
- It highlights the necessity of addressing a wide range of risk factors, both common and under-addressed.
- Emphasis on education and adherence is crucial for the success of any intervention.
Conclusions:
- A comprehensive, population-wide strategy is essential to effectively prevent cardiovascular disease.
- Addressing all risk factors, including lifestyle, environmental, and psychological aspects, is critical.
- Improving patient education and adherence is paramount for successful cardiovascular disease prevention and management.
Abstract:
Cardiovascular disease (CVD), particularly atherosclerotic cardiovascular disease (ASCVD), is the most common cause of death worldwide. Despite decades of research into lifestyle factors and medications, we still cannot effectively prevent the occurrence of ASCVD or the many incident CVD events and their complications. Yet, in most countries, only a small percentage of the healthcare budget is allocated to (primary) prevention, and only a few nations have introduced effective integrated (coordinated) programmes in primary prevention to promote health education, invest in health as early as possible, and prevent adverse CVD events. The International Lipid Expert Panel SiMple tIps for the heaLthy hEart (ILEP-SMILE) responds to this significant ineffectiveness by offering the most comprehensive population approach, including early, effective education, improvement of all recognised risk factors, alongside those that remain frequently unmeasured, such as lipoprotein(a), factors which are often overlooked such as sleep disturbances and alcohol consumption, and the challenging aspect of stress, and its effect on cardiovascular health. Finally, ILEP-SMILE places considerable emphasis on adherence as a result of education; without it, even efficient lifestyle changes and the most innovative drugs may not yield the expected outcomes. This is also a loud call to action and international collaboration to jointly address the lifetime burden of cardiovascular disease.
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