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Cardiovascular prevention: sometimes dreams can come true.
Ferrari, Roberto; Cimaglia, Paolo; Rapezzi, Claudio; Tavazzi, Luigi; Guardigli, Gabriele.
  • Ferrari R; Cardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, Ferrara 44124, Italy.
  • Cimaglia P; Cardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, Cotignola, RA 48033, Italy.
  • Rapezzi C; Cardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, Ferrara 44124, Italy.
  • Tavazzi L; Cardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, Cotignola, RA 48033, Italy.
  • Guardigli G; Cardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, Cotignola, RA 48033, Italy.
Eur Heart J Suppl ; 24(Suppl H): H3-H7, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-2314504
ABSTRACT
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 'healthcare 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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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Eur Heart J Suppl Year: 2022 Document Type: Article Affiliation country: Eurheartjsupp

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Eur Heart J Suppl Year: 2022 Document Type: Article Affiliation country: Eurheartjsupp