Comentario del CEIPV a la actualización de las Guías Europeas de Prevención Vascular en la Práctica Clínica

e202009102

Autores/as

  • Pedro Armario Sociedad Española-Liga Española para la Lucha contra la Hipertensión Arterial.
  • Carlos Brotons Sociedad Española de Medicina de Familia y Comunitaria.
  • Roberto Elosua Sociedad Española de Epidemiología.
  • María Alonso de Leciñana Sociedad Española de Neurología.
  • Almudena Castro Sociedad Española de Cardiología-Coordinadora Nacional Sección de Prevención.
  • Albert Clarà Sociedad Española de Angiología y Cirugía Vascular.
  • Olga Cortés Asociación Española Pediatría de Atención Primaria.
  • Ángel Díaz Rodriguez Sociedad Española de Médicos de Atención Primaria-Semergen.
  • María Herranz Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria-FAECAP.
  • Soledad Justo Ministerio de Sanidad. Madrid. España.
  • Carlos Lahoz Sociedad Española de Medicina Interna.
  • Juan Pedro-Botet Sociedad Española de Arteriosclerosis.
  • Antonio Pérez Pérez Sociedad Española de Diabetes.
  • Rafael Santamaría Sociedad Española de Nefrología.
  • Ricard Tresserras Sociedad Española de Salud Pública y Administración Sanitaria-SESPAS.
  • Susana Aznar Lain Grupo de Investigación PAFS (Promoción de la Actividad Física para la Salud). Facultad de Ciencias del Deporte. Universidad de Castilla-La Mancha. Toledo. España.
  • Miguel Ángel Royo-Bordonada Instituto de Salud Carlos III. Madrid. España.

Palabras clave:

Prevención y control, Enfermedades vasculares, Guías de Práctica Clínicas, Dieta saludable, Hipertensión arterial, Diabetes, Control de lípidos, Tabaco

Resumen

Presentamos la adaptación para España de la actualización de las Guías Europeas de Prevención Vascular. En esta actualización se hace mayor énfasis en el abordaje poblacional, especialmente en la promoción de la actividad física y de una dieta saludable mediante políticas alimentarias y de ocio y transporte activo en España. Para estimar el riesgo vascular, se destaca la importancia de recalibrar las tablas que se utilicen, adaptándolas a los cambios poblaciones en la prevalencia de los factores de riesgo y en la incidencia de enfermedades vasculares, con particular atención al papel de la enfermedad renal crónica. A nivel individual resulta clave el apoyo personalizado para el cambio de conducta, la adherencia a la medicación en los individuos de alto riesgo y pacientes con enfermedad vascular, la promoción de la actividad física y el abandono del hábito tabáquico. Además, se revisan los ensayos clínicos recientes con inhibidores de PCKS9, la necesidad de simplificar el tratamiento farmacológico de la hipertensión arterial para mejorar su control y la adherencia al tratamiento. En los pacientes con diabetes mellitus 2 y enfermedad vascular o riesgo vascular alto, cuando los cambios de estilo de vida y la metformina resultan insuficientes, deben priorizarse los fármacos con demostrado beneficio vascular. Por último, se incluyen pautas sobre enfermedad arterial periférica y otras enfermedades específicas, y se recomienda no prescribir antiagregantes en prevención primaria.

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11-09-2020

Cómo citar

1.
Armario P, Brotons C, Elosua R, Alonso de Leciñana M, Castro A, Clarà A, et al. Comentario del CEIPV a la actualización de las Guías Europeas de Prevención Vascular en la Práctica Clínica: e202009102. Rev Esp Salud Pública [Internet]. 11 de septiembre de 2020 [citado 5 de noviembre de 2024];94:38 páginas. Disponible en: https://ojs.sanidad.gob.es/index.php/resp/article/view/740

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