Early prevention of cardiovascular events – recent data and practical approach

Česká verzia

Authors: Jan Piťha ^1,2
Authors place of work: Kardiocentrum, Klinika kardiologie IKEM, Praha ¹; Centrum experimentální medicíny, Laboratoř pro výzkum aterosklerózy IKEM, Praha ²
Published in the journal: AtheroRev 2022; 7(1): 14-20
Category: Reviews

Summary

There has been a great recent shift in the treatment of dyslipidemia in terms of the possibility of reducing atherogenic lipids; more gradual but not less successful development in the treatment of hypertension is observed. In the field of cardiovascular disease (CVD) prevention, in addition to combinations of statins and PCSK-9 inhibitors and/or or multiple antihypertensives, less aggressive, but earlier treatment of dyslipidemia and hypertension is increasingly being proposed. The reason is that in addition to the high mortality rate from CVD, uncontrolled risk factors create high number of individuals with poor quality of life, mostly including repeated hospitalizations; in other words, we spend a very long time in poor health conditions objectively represented the number and length of hospitalizations. One of strategies that could significantly improve this situation is the early initiation of risk factor intervention; especially in the case of dyslipidemia and hypertension. Current data are very encouraging. Our article focuses on scientific background and practical procedures in this treatment strategy. Several recommendations of the European Society of Cardiology have been also included.

Keywords:

hypertension – vascular age – cardiovascular disease – dyslipidemia – early prevention

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