Comprehensive prevention of cardiovascular risk is to address the risk factors (hypertension, diabetes mellitus, hypercholesterolemia, smoking and obesity) together and integrate them globally to individualize treatment.
The first cause of death and severe disability in Spain is cardiovascular disease in any of its forms: myocardial infarction , stroke , chronic renal failure or peripheral arterial disease.. The prevalence of all of them increases due to the progressive aging of the population. Thus, 40% of the population is hypertensive, 14% diabetic, 30% have high cholesterol levels , childhood obesity increases ...
The best way to avoid the development of vascular pathology is to prevent and monitor risk factors, which must be done comprehensively and addressed together.
The advances of medical science are amazing in terms of progressive control of risk factors so we have an important arsenal of new drugs and devices to control the most aggressive forms of hypertension through renal denervation by radiofrequency , diabetes mellitus type 2 with the continuous glucose monitoring and new antidiabetic agents which do not induce hypoglycemia, LDL apheresis, the multidisciplinary approach of pathologies with high component psychogenic (smoking and obesity) ... Genetic analyzes have also been included in the medical consultation of cardiovascular risk prevention as a useful tool that provides valuable information.
The cardiovascular risk tables have been the best possibility to individualize the treatment because they provide a quantitative data that allows to set specific goals and forecasts.
Undoubtedly, scientific advances are allowing us to improve the quantity and quality of life of our patients and the global vision of cardiovascular risk factors is the optimal way to evaluate them.