Kommentar zu den neuen Leitlinien (2012) der Europäischen Gesellschaft für Kardiologie zur kardiovaskulären Prävention

摘要

The new European guidelines on cardiovascular disease (CV) prevention are supported by nine medical societies. They have been restructured, are shorter and more readable. Each subchapter starts with key messages and recommendations are labelled with an evidence level. The subchapter ends with the most important newest information and persisting gaps of evidence for further research. The most important change is the categorization of cardiovascular risk in four levels: low (<1%), medium (1%-<5%), high (5%-<10%) and very high risk (>10%). All patients with CV disease are in the very high risk group with, e.g. a low-density lipoprotein (LDL) cholesterol goal of <70 mg/dl (<1.8 mmol/l). Treatment adherence and behavioral changes can best be achieved by motivational interviews which require some time. The physician has the responsibility for clear recommendations in the discharge summary after hospitalization and for offering help and feedback in the implementation phase of behavioral change.