World Heart Federation cholesterol roadmap: the Portuguese case

Ana Abreu; Hélder Dores; Lino Gonçalves; Fátima Franco; Conceição Silveira; Gonçalo Proença; Ana Teresa Timóteo; Nuno Cardim; Mónica Pedro; Manuela Fiuza; Daniel Ferreira; Luísa Bento; Lino Patrício; Daniel Caldeira; Sérgio Bravo Baptista; José Santos; Evangelista Rocha; Anabela Raimundo; Carlos Catarino; Manuel Carrageta; Ricardo Mexia; Francisco Araújo; Hélder Pereira; Raul Santos; Fausto J. Pinto

doi:10.1016/j.repc.2024.04.009

World Heart Federation cholesterol roadmap: the Portuguese case

Título traduzido da contribuição: Roadmap do colesterol da Federação Mundial de Cardiologia: o caso português

Ana Abreu^*, Hélder Dores, Lino Gonçalves, Fátima Franco, Conceição Silveira, Gonçalo Proença, Ana Teresa Timóteo, Nuno Cardim, Mónica Pedro, Manuela Fiuza, Daniel Ferreira, Luísa Bento, Lino Patrício, Daniel Caldeira, Sérgio Bravo Baptista, José Santos, Evangelista Rocha, Anabela Raimundo, Carlos Catarino, Manuel CarragetaRicardo Mexia, Francisco Araújo, Hélder Pereira, Raul Santos, Fausto J. Pinto

^*Autor correspondente para este trabalho

Faculdade de Medicina

Resultado de pesquisa › revisão de pares

4 Transferências (Pure)

Resumo

A doenc¸a aterosclerótica cardiovascular (DACV) mantém-se a maior causa de morte prematura e de incapacidade, sendo uma prevenc¸ão eficaz de risco cardiovascular (CV) fundamental. O WHF Cholesterol Roadmap fornece enquadramento para o desenvolvimento de políticas nacionais, tendo como objetivo a prevenc¸ão de DACV. A convite da WHF, um grupo de peritos da Sociedade Portuguesa de Cardiologia (SPC) avaliou a carga do colesterol a nível nacional e discutiu possíveis estratégias para um Roadmap português. A revisão da literatura mostrou uma carga elevada de colesterol em Portugal, sobretudo em pessoas de alto risco CV. Uma infografia, Scorecard, foi construída pela WHF, para mostrar claramente o risco CV e o peso do colesterol em Portugal, sendo útil para advocacia em políticas de saúde. A discussão de peritos e proposta das estratégias preventivas seguiram os cinco pilares do documento da WHF: Melhoria da consciencializac¸ão; Abordagens do risco CV e do colesterol nas populac¸ões; Avaliac¸ão de risco/screening das populac¸ões; abordagens a nível do sistema; Seguimento do colesterol e complicac¸ões da DACV. Várias recomendac¸ões chave foram definidas: incluir todos os stakeholders em programa multidisciplinar nacional; criar plano de atividades estruturadas para aumentar a consciencializac¸ão da populac¸ão; aumentar qualidade da educac¸ão contínua em saúde CV; aumentar interac¸ão entre profissionais de saúde e outros profissionais; aumentar referenciac¸ão de doentes para reabilitac¸ão cardiovascular; avaliar níveis de colesterol na populac¸ão geral, especialmente em alto risco; promover autocuidado dos doentes, envolvendo associac¸ões de doentes; usar redes sociais específicas para disseminar informac¸ão; criar base nacional de níveis de colesterol com registo sistemático de eventos CV; redefinir estratégias baseadas na avaliac¸ão de resultados; criar e envolver mais doentes em associac¸ões --- inverter a ordem da pirâmide! Em conclusão, a DACV e o peso de colesterol permanecem uma questão global forte em Portugal, necessitando o envolvimento de múltiplos stakeholders na prevenc¸ão. O Roadmap de colesterol português pode fornecer algumas soluc¸ões para urgentemente mitigar o problema. Abordagens a nível das populac¸ões para melhorar a consciencializac¸ão e avaliar o risco CV, seguimento do colesterol e das complicac¸ões de DACV são fatores chave nesta mudanc¸a. Uma call to action é claramente necessária para combater a carga da hipercolesterolemia e DACV.

Título traduzido da contribuição	Roadmap do colesterol da Federação Mundial de Cardiologia: o caso português
Idioma original	English
Páginas (de-até)	633-641
Número de páginas	9
Revista	Revista Portuguesa de Cardiologia
Volume	43
Número de emissão	11
DOIs	https://doi.org/10.1016/j.repc.2024.04.009
Estado da publicação	Publicado - nov. 2024

Keywords

Colesterol
Risco cardiovascular
Doença aterosclerótica cardiovascular
WHF roadmap
Prevenção

ODS da ONU

Este resultado contribui para o(s) seguinte(s) Objetivo(s) de Desenvolvimento Sustentável

Acesso ao documento

10.1016/j.repc.2024.04.009Licença:

108243716Final published version, 1,44 MBLicença:

http://hdl.handle.net/10400.14/47186Licença:

Outros arquivos e links

Link to publication in Scopus

Citação

Abreu, A., Dores, H., Gonçalves, L., Franco, F., Silveira, C., Proença, G., Timóteo, A. T., Cardim, N., Pedro, M., Fiuza, M., Ferreira, D., Bento, L., Patrício, L., Caldeira, D., Baptista, S. B., Santos, J., Rocha, E., Raimundo, A., Catarino, C., ... Pinto, F. J. (2024). World Heart Federation cholesterol roadmap: the Portuguese case. Revista Portuguesa de Cardiologia, 43(11), 633-641. https://doi.org/10.1016/j.repc.2024.04.009

@article{0cafb41aab0141b2b4764bc1ba654554,

title = "World Heart Federation cholesterol roadmap: the Portuguese case",

abstract = "Atherosclerotic cardiovascular disease (ASCVD) remains the major cause of premature death and disability; effective cardiovascular (CV) risk prevention is fundamental. The World Heart Federation (WHF) Cholesterol Roadmap provides a framework for national policy development and aims to achieve ASCVD prevention. At the invitation of the WHF, a group of experts from the Portuguese Society of Cardiology (SPC), addressed the cholesterol burden at nationally and discussed possible strategies to include in a Portuguese cholesterol roadmap. The literature review showed that the cholesterol burden in Portugal is high and especially uncontrolled in those with the highest CV risk. An infographic scorecard was built to include in the WHF collection, for a clear idea about CV risk and cholesterol burden in Portugal, which would also be useful for health policy advocacy. The expert discussion and preventive strategies proposal followed the five pillars of the WHF document: awareness improvement; population-based approaches for CV risk and cholesterol; risk assessment/population screening; system-level approaches; surveillance of cholesterol and ASCVD outcomes. These strategies were debated by all the expert participants, with the goal of creating a national cholesterol roadmap to be used for advocacy and as a guide for CV prevention. Several key recommendations were outlined: include all stakeholders in a multidisciplinary national program; create a structured activities plan to increase awareness in the population; improve the quality of continuous CV health education; increase the interaction between different health professionals and non-health professionals; increment the referral of patients to cardiac rehabilitation; screen cholesterol levels in the general population, especially high-risk groups; promote patient self-care, engage with patients{\textquoteright} associations; use specific social networks to spread information widely; create a national database of cholesterol levels with systematic registry of CV events; redefine strategies based on the evaluation of results; create and involve more patients{\textquoteright} associations – invert the pyramid order. In conclusion, ASCVD and the cholesterol burden remain a strong global issue in Portugal, requiring the involvement of multiple stakeholders in prevention. The Portuguese cholesterol roadmap can provide some solutions to help urgently mitigate the problem. Population-based approaches to improve awareness and CV risk assessment and surveillance of cholesterol and ASCVD outcomes are key factors in this change. A call to action is clearly needed to fight hypercholesterolemia and ASCVD burden.",

keywords = "Atherosclerotic cardiovascular disease, Cardiovascular risk, Cholesterol, Prevention, WHF roadmap, Colesterol, Risco cardiovascular, Doen{\c c}a ateroscler{\'o}tica cardiovascular, WHF roadmap, Preven{\c c}{\~a}o",

author = "Ana Abreu and H{\'e}lder Dores and Lino Gon{\c c}alves and F{\'a}tima Franco and Concei{\c c}{\~a}o Silveira and Gon{\c c}alo Proen{\c c}a and Tim{\'o}teo, {Ana Teresa} and Nuno Cardim and M{\'o}nica Pedro and Manuela Fiuza and Daniel Ferreira and Lu{\'i}sa Bento and Lino Patr{\'i}cio and Daniel Caldeira and Baptista, {S{\'e}rgio Bravo} and Jos{\'e} Santos and Evangelista Rocha and Anabela Raimundo and Carlos Catarino and Manuel Carrageta and Ricardo Mexia and Francisco Ara{\'u}jo and H{\'e}lder Pereira and Raul Santos and Pinto, {Fausto J.}",

note = "Publisher Copyright: {\textcopyright} 2024",

year = "2024",

month = nov,

doi = "10.1016/j.repc.2024.04.009",

language = "English",

volume = "43",

pages = "633--641",

journal = "Revista Portuguesa de Cardiologia",

issn = "0870-2551",

publisher = "Sociedade Portuguesa De Cardiologia",

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Abreu, A, Dores, H, Gonçalves, L, Franco, F, Silveira, C, Proença, G, Timóteo, AT, Cardim, N, Pedro, M, Fiuza, M, Ferreira, D, Bento, L, Patrício, L, Caldeira, D, Baptista, SB, Santos, J, Rocha, E, Raimundo, A, Catarino, C, Carrageta, M, Mexia, R, Araújo, F, Pereira, H, Santos, R & Pinto, FJ 2024, 'World Heart Federation cholesterol roadmap: the Portuguese case', Revista Portuguesa de Cardiologia, vol. 43, n.º 11, pp. 633-641. https://doi.org/10.1016/j.repc.2024.04.009

TY - JOUR

T1 - World Heart Federation cholesterol roadmap

T2 - the Portuguese case

AU - Abreu, Ana

AU - Dores, Hélder

AU - Gonçalves, Lino

AU - Franco, Fátima

AU - Silveira, Conceição

AU - Proença, Gonçalo

AU - Timóteo, Ana Teresa

AU - Cardim, Nuno

AU - Pedro, Mónica

AU - Fiuza, Manuela

AU - Ferreira, Daniel

AU - Bento, Luísa

AU - Patrício, Lino

AU - Caldeira, Daniel

AU - Baptista, Sérgio Bravo

AU - Santos, José

AU - Rocha, Evangelista

AU - Raimundo, Anabela

AU - Catarino, Carlos

AU - Carrageta, Manuel

AU - Mexia, Ricardo

AU - Araújo, Francisco

AU - Pereira, Hélder

AU - Santos, Raul

AU - Pinto, Fausto J.

PY - 2024/11

Y1 - 2024/11

N2 - Atherosclerotic cardiovascular disease (ASCVD) remains the major cause of premature death and disability; effective cardiovascular (CV) risk prevention is fundamental. The World Heart Federation (WHF) Cholesterol Roadmap provides a framework for national policy development and aims to achieve ASCVD prevention. At the invitation of the WHF, a group of experts from the Portuguese Society of Cardiology (SPC), addressed the cholesterol burden at nationally and discussed possible strategies to include in a Portuguese cholesterol roadmap. The literature review showed that the cholesterol burden in Portugal is high and especially uncontrolled in those with the highest CV risk. An infographic scorecard was built to include in the WHF collection, for a clear idea about CV risk and cholesterol burden in Portugal, which would also be useful for health policy advocacy. The expert discussion and preventive strategies proposal followed the five pillars of the WHF document: awareness improvement; population-based approaches for CV risk and cholesterol; risk assessment/population screening; system-level approaches; surveillance of cholesterol and ASCVD outcomes. These strategies were debated by all the expert participants, with the goal of creating a national cholesterol roadmap to be used for advocacy and as a guide for CV prevention. Several key recommendations were outlined: include all stakeholders in a multidisciplinary national program; create a structured activities plan to increase awareness in the population; improve the quality of continuous CV health education; increase the interaction between different health professionals and non-health professionals; increment the referral of patients to cardiac rehabilitation; screen cholesterol levels in the general population, especially high-risk groups; promote patient self-care, engage with patients’ associations; use specific social networks to spread information widely; create a national database of cholesterol levels with systematic registry of CV events; redefine strategies based on the evaluation of results; create and involve more patients’ associations – invert the pyramid order. In conclusion, ASCVD and the cholesterol burden remain a strong global issue in Portugal, requiring the involvement of multiple stakeholders in prevention. The Portuguese cholesterol roadmap can provide some solutions to help urgently mitigate the problem. Population-based approaches to improve awareness and CV risk assessment and surveillance of cholesterol and ASCVD outcomes are key factors in this change. A call to action is clearly needed to fight hypercholesterolemia and ASCVD burden.

AB - Atherosclerotic cardiovascular disease (ASCVD) remains the major cause of premature death and disability; effective cardiovascular (CV) risk prevention is fundamental. The World Heart Federation (WHF) Cholesterol Roadmap provides a framework for national policy development and aims to achieve ASCVD prevention. At the invitation of the WHF, a group of experts from the Portuguese Society of Cardiology (SPC), addressed the cholesterol burden at nationally and discussed possible strategies to include in a Portuguese cholesterol roadmap. The literature review showed that the cholesterol burden in Portugal is high and especially uncontrolled in those with the highest CV risk. An infographic scorecard was built to include in the WHF collection, for a clear idea about CV risk and cholesterol burden in Portugal, which would also be useful for health policy advocacy. The expert discussion and preventive strategies proposal followed the five pillars of the WHF document: awareness improvement; population-based approaches for CV risk and cholesterol; risk assessment/population screening; system-level approaches; surveillance of cholesterol and ASCVD outcomes. These strategies were debated by all the expert participants, with the goal of creating a national cholesterol roadmap to be used for advocacy and as a guide for CV prevention. Several key recommendations were outlined: include all stakeholders in a multidisciplinary national program; create a structured activities plan to increase awareness in the population; improve the quality of continuous CV health education; increase the interaction between different health professionals and non-health professionals; increment the referral of patients to cardiac rehabilitation; screen cholesterol levels in the general population, especially high-risk groups; promote patient self-care, engage with patients’ associations; use specific social networks to spread information widely; create a national database of cholesterol levels with systematic registry of CV events; redefine strategies based on the evaluation of results; create and involve more patients’ associations – invert the pyramid order. In conclusion, ASCVD and the cholesterol burden remain a strong global issue in Portugal, requiring the involvement of multiple stakeholders in prevention. The Portuguese cholesterol roadmap can provide some solutions to help urgently mitigate the problem. Population-based approaches to improve awareness and CV risk assessment and surveillance of cholesterol and ASCVD outcomes are key factors in this change. A call to action is clearly needed to fight hypercholesterolemia and ASCVD burden.

KW - Atherosclerotic cardiovascular disease

KW - Cardiovascular risk

KW - Cholesterol

KW - Prevention

KW - WHF roadmap

KW - Colesterol

KW - Risco cardiovascular

KW - Doença aterosclerótica cardiovascular

KW - WHF roadmap

KW - Prevenção

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U2 - 10.1016/j.repc.2024.04.009

DO - 10.1016/j.repc.2024.04.009

M3 - Article

C2 - 38972451

AN - SCOPUS:85200825987

SN - 0870-2551

VL - 43

SP - 633

EP - 641

JO - Revista Portuguesa de Cardiologia

JF - Revista Portuguesa de Cardiologia

IS - 11

ER -

World Heart Federation cholesterol roadmap: the Portuguese case

Resumo

Keywords

ODS da ONU

Acesso ao documento

Outros arquivos e links

Impressão digital

Citação