Cardiovascular prevention in clinical practice (ESC and German guidelines 2007).
Identifieur interne : 000418 ( Main/Curation ); précédent : 000417; suivant : 000419Cardiovascular prevention in clinical practice (ESC and German guidelines 2007).
Auteurs : Helmut Gohlke [Allemagne] ; Christian Albus ; Detlef Bernd Gysan ; Harry W. Hahmann ; Peter MathesSource :
- Herz [ 1615-6692 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- MESH :
- geographic : Germany.
- diagnosis : Cardiovascular Diseases.
- prevention & control : Cardiovascular Diseases.
- standards : Cardiology, Practice Patterns, Physicians', Preventive Medicine.
- Humans, Practice Guidelines as Topic.
Abstract
Preventive efforts should be guided by the patient's global cardiovascular (CV) risk. A risk stratification should be done in every person > age 35 with more than a single risk factor. Recommendations for improved lifestyle are applicable to all persons with CV risk factors: smoking cessation, daily exercise, normal body mass index, Mediterranean diet, blood pressure < 140 mmHg systolic, and LDL cholesterol < 130 mg/dl are beneficial. If the 10-year risk is > or = 20% for CV events or > or = 5% for CV death, additional drug interventions are usually necessary: acetylsalicylic acid 100 mg daily, statins to lower LDL cholesterol to < 100 mg/dl or, in diabetics with coronary artery disease, to < 70 mg/dl, blood pressure should be < 130 mmHg systolic, e.g., in patients with diabetes or renal disease. After bare-metal stent implantation clopidogrel should be given for > or = 4 weeks and after drug-eluting stents for > or = 6 months. In patients after myocardial infarction with an ejection fraction of < 40%, ACE inhibitors and beta-blocker should be started. Influenza vaccination improves prognosis in high-risk patients.
DOI: 10.1007/s00059-009-3196-7
PubMed: 19214404
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pubmed:19214404Le document en format XML
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<term>Cardiologie (normes)</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Maladies cardiovasculaires ()</term>
<term>Maladies cardiovasculaires (diagnostic)</term>
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<front><div type="abstract" xml:lang="en">Preventive efforts should be guided by the patient's global cardiovascular (CV) risk. A risk stratification should be done in every person > age 35 with more than a single risk factor. Recommendations for improved lifestyle are applicable to all persons with CV risk factors: smoking cessation, daily exercise, normal body mass index, Mediterranean diet, blood pressure < 140 mmHg systolic, and LDL cholesterol < 130 mg/dl are beneficial. If the 10-year risk is > or = 20% for CV events or > or = 5% for CV death, additional drug interventions are usually necessary: acetylsalicylic acid 100 mg daily, statins to lower LDL cholesterol to < 100 mg/dl or, in diabetics with coronary artery disease, to < 70 mg/dl, blood pressure should be < 130 mmHg systolic, e.g., in patients with diabetes or renal disease. After bare-metal stent implantation clopidogrel should be given for > or = 4 weeks and after drug-eluting stents for > or = 6 months. In patients after myocardial infarction with an ejection fraction of < 40%, ACE inhibitors and beta-blocker should be started. Influenza vaccination improves prognosis in high-risk patients.</div>
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