TY - JOUR

T1 - Current European guidelines for management of cardiovascular disease

T2 - Is Medical treatment in nearly half a population realistic?

AU - Vinther, Johan Lerbech

AU - Jacobsen, Rikke K

AU - Jørgensen, Torben

PY - 2018

Y1 - 2018

N2 - BackgroundHealth checks of the general population are widely used to prevent cardiovascular diseases, but are the current clinical guidelines from the European Society of Cardiology (ESC) suitable for screening the general population?DesignA cross-sectional, population-based study of 978 men and women aged 40–65 years examined in 2010–2011 was used to estimate the proportion of the general Danish population fulfilling the criteria from the clinical guidelines from the ESC on medical treatment and lifestyle intervention to prevent cardiovascular disease.MethodsThe ESC criteria for medical treatment and lifestyle intervention were applied to a general population using information on previous cardiovascular diseases, known diabetes, urinalbumin, smoking, total cholesterol, systolic and diabolic blood pressure, low-density lipoprotein cholesterol and a multifactor risk score (SCORE).ResultsA total of 12.5% fulfilled the criteria for immediate medical treatment to prevent cardiovascular diseases. Furthermore, 30.4% are recommended for medical treatment if an initial lifestyle intervention fails summing to 42.9% eligible for medical treatment. The majority (79%) of persons aged 60–65 years are eligible for medical treatment, while close to half (44.9%) of all persons aged 50–59 years are recommended for medical treatment.ConclusionIf ESC’s guidelines were followed in Denmark, a conservative estimate shows that medical preventive treatment would involve nearly half the general population aged 40–65 years. The use of these guidelines in screening of the general population can be questioned as realistic and suitable

AB - BackgroundHealth checks of the general population are widely used to prevent cardiovascular diseases, but are the current clinical guidelines from the European Society of Cardiology (ESC) suitable for screening the general population?DesignA cross-sectional, population-based study of 978 men and women aged 40–65 years examined in 2010–2011 was used to estimate the proportion of the general Danish population fulfilling the criteria from the clinical guidelines from the ESC on medical treatment and lifestyle intervention to prevent cardiovascular disease.MethodsThe ESC criteria for medical treatment and lifestyle intervention were applied to a general population using information on previous cardiovascular diseases, known diabetes, urinalbumin, smoking, total cholesterol, systolic and diabolic blood pressure, low-density lipoprotein cholesterol and a multifactor risk score (SCORE).ResultsA total of 12.5% fulfilled the criteria for immediate medical treatment to prevent cardiovascular diseases. Furthermore, 30.4% are recommended for medical treatment if an initial lifestyle intervention fails summing to 42.9% eligible for medical treatment. The majority (79%) of persons aged 60–65 years are eligible for medical treatment, while close to half (44.9%) of all persons aged 50–59 years are recommended for medical treatment.ConclusionIf ESC’s guidelines were followed in Denmark, a conservative estimate shows that medical preventive treatment would involve nearly half the general population aged 40–65 years. The use of these guidelines in screening of the general population can be questioned as realistic and suitable

U2 - 10.1177/2047487317738826

DO - 10.1177/2047487317738826

M3 - Journal article

C2 - 29095052

VL - 25

SP - 157

EP - 163

JO - European Journal of Preventive Cardiology

JF - European Journal of Preventive Cardiology

SN - 2047-4873

IS - 2

ER -