SPANISH INTERDISCIPLINARY COMMITTEE FOR CARDIOVASCULAR DISEASE PREVENTION AND THE SPANISH SOCIETY OF CARDIOLOGY POSITION STATEMENT ON DYSLIPIDEMIA MANAGEMENT: DIFFERENCES BETWEEN THE EUROPEAN AND AMERICAN GUIDELINES
Por:
Bejarano, J, Galve, E, Royo-Bordonada, M, Ezquerra, E, Armario, P, Cuixart, C, Babkowski, M, Fort, A, Galan, A, Morato, T, Perez, A, Pedro-Botet, J, Alvarez, F, Gonzalez-Juanatey, J, Spanish Interdisciplinary Comm and Spanish Soc Cardiology
Publicada:
1 ene 2015
Categoría:
Medicine (miscellaneous)
Resumen:
The publication of the 2013 American College of Cardiology/American Heart Association guidelines on the treatment of high blood cholesterol has had a strong impact due to the paradigm shift in its recommendations. The Spanish Interdisciplinary Committee for Cardiovascular Disease Prevention and the Spanish Society of Cardiology reviewed this guideline and compared it with current European guidelines on cardiovascular prevention and dyslipidemia management.
The most striking aspect of the American guideline is the elimination of the low-density lipoprotein cholesterol treat-to-target strategy and the adoption of a risk reduction strategy in 4 major statin benefit groups. In patients with established cardiovascular disease, both guidelines recommend a similar therapeutic strategy (high-dose potent statins). However, in primary prevention, the application of the American guidelines would substantially increase the number of persons, particularly older people, receiving statin therapy. The elimination of the cholesterol treat-to-target strategy, so strongly rooted in the scientific community, could have a negative impact on clinical practice, create a certain amount of confusion and uncertainty among professionals, and decrease follow-up and patient adherence. Thus, this article reaffirms the recommendations of the European guidelines. Although both guidelines have positive aspects, doubt remains regarding the concerns outlined above. In addition to using risk charts based on the native population, the messages of the European guideline are more appropriate to the Spanish setting and avoid the possible risk of overtreatment with statins in primary prevention.
Filiaciones:
Bejarano, J:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Galve, E:
Soc Espanola Cardiol, Secc Riesgo Vasc & Rehabil Cardiaca, Madrid, Spain
Royo-Bordonada, M:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Inst Salud Carlos III, Madrid, Spain
Ezquerra, E:
Soc Espanola Cardiol, Secc Riesgo Vasc & Rehabil Cardiaca, Madrid, Spain
Armario, P:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Hipertens Liga Espanola Lucha Hipert, Madrid, Spain
Cuixart, C:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Babkowski, M:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Med Interna, Madrid, Spain
:
Soc Espanola Cardiol, Secc Riesgo Vasc & Rehabil Cardiaca, Madrid, Spain
Galan, A:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
PAPPS, Madrid, Spain
Morato, T:
Soc Espanola Med Familia & Comunitaria, Madrid, Spain
Perez, A:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Diabet, Madrid, Spain
Pedro-Botet, J:
Soc Espanola Arteriosclerosis, Madrid, Spain
Alvarez, F:
Comite Espanol Interdisciplinario Prevenc Cardiov, Madrid, Spain
Soc Espanola Arteriosclerosis, Madrid, Spain
Gonzalez-Juanatey, J:
Soc Espanola Cardiol, Madrid, Spain
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