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Cardiovascular prevention: sometimes dreams can come true

Cardiovascular disease (CVD) is a chronic condition driven by the complex interaction of different risk factors including genetics, lifestyle, environment, etc. which, differently from other pathologies, can be prevented. Treatment of CVD has been inconceivably successful but now it seems that it ha...

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Autores principales: Ferrari, Roberto, Cimaglia, Paolo, Cantone, Anna, Serenelli, Matteo, Guardigli, Gabriele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132572/
https://www.ncbi.nlm.nih.gov/pubmed/37125296
http://dx.doi.org/10.1093/eurheartjsupp/suad006
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author Ferrari, Roberto
Cimaglia, Paolo
Cantone, Anna
Serenelli, Matteo
Guardigli, Gabriele
author_facet Ferrari, Roberto
Cimaglia, Paolo
Cantone, Anna
Serenelli, Matteo
Guardigli, Gabriele
author_sort Ferrari, Roberto
collection PubMed
description Cardiovascular disease (CVD) is a chronic condition driven by the complex interaction of different risk factors including genetics, lifestyle, environment, etc. which, differently from other pathologies, can be prevented. Treatment of CVD has been inconceivably successful but now it seems that it has reached a plateau suggesting that prevention is the way forward. However, the COVID-19 pandemic has spotted all the limits of the actual health system regarding territorial and, particularly, of preventive medicine. To this end, recently, the SCORE2 risk prediction algorithms, a contemporary model to estimate 10 years risk of CVD in Europe and the new guidelines on prevention have been released. The present review article describes a dream: how prevention of CVD should be addressed in the future. New concepts and paradigms like early genetically personalized and imaging driven risk factors, cardiac risk cartography, measurements of the exposome, estimation of costs of a delayed outcome vs. healthy lifespan, are all addressed. We highlight the importance of technologies and the concept of being engaged in a ‘healthy’ and not just ‘sick’ system as it is today. The concept of ‘clearing house’ with a ‘care health team’ instead of a ‘heart team’ is described. Finally, we articulate the four points necessary for the dream to come true.
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spelling pubmed-101325722023-04-27 Cardiovascular prevention: sometimes dreams can come true Ferrari, Roberto Cimaglia, Paolo Cantone, Anna Serenelli, Matteo Guardigli, Gabriele Eur Heart J Suppl PLACE 2022 Supplement Paper Cardiovascular disease (CVD) is a chronic condition driven by the complex interaction of different risk factors including genetics, lifestyle, environment, etc. which, differently from other pathologies, can be prevented. Treatment of CVD has been inconceivably successful but now it seems that it has reached a plateau suggesting that prevention is the way forward. However, the COVID-19 pandemic has spotted all the limits of the actual health system regarding territorial and, particularly, of preventive medicine. To this end, recently, the SCORE2 risk prediction algorithms, a contemporary model to estimate 10 years risk of CVD in Europe and the new guidelines on prevention have been released. The present review article describes a dream: how prevention of CVD should be addressed in the future. New concepts and paradigms like early genetically personalized and imaging driven risk factors, cardiac risk cartography, measurements of the exposome, estimation of costs of a delayed outcome vs. healthy lifespan, are all addressed. We highlight the importance of technologies and the concept of being engaged in a ‘healthy’ and not just ‘sick’ system as it is today. The concept of ‘clearing house’ with a ‘care health team’ instead of a ‘heart team’ is described. Finally, we articulate the four points necessary for the dream to come true. Oxford University Press 2023-04-26 /pmc/articles/PMC10132572/ /pubmed/37125296 http://dx.doi.org/10.1093/eurheartjsupp/suad006 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle PLACE 2022 Supplement Paper
Ferrari, Roberto
Cimaglia, Paolo
Cantone, Anna
Serenelli, Matteo
Guardigli, Gabriele
Cardiovascular prevention: sometimes dreams can come true
title Cardiovascular prevention: sometimes dreams can come true
title_full Cardiovascular prevention: sometimes dreams can come true
title_fullStr Cardiovascular prevention: sometimes dreams can come true
title_full_unstemmed Cardiovascular prevention: sometimes dreams can come true
title_short Cardiovascular prevention: sometimes dreams can come true
title_sort cardiovascular prevention: sometimes dreams can come true
topic PLACE 2022 Supplement Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132572/
https://www.ncbi.nlm.nih.gov/pubmed/37125296
http://dx.doi.org/10.1093/eurheartjsupp/suad006
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