By Richard Hobbs, Bruce Arroll
Useful ABC styleEnables medical professionals to prioritise remedy utilizing risk-scoring structures and holistic innovations for decreasing cardiovascular riskIncludes therapies for people with diabetes, who're at excessive hazard of constructing cardiovascular diseaseHow to lessen cardiovascular danger in different particular sufferer groupsDeveloped by way of specialist teams in numerous areas of the area
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19. UK Prospective Diabetes Study (UKPDS) Group. Intensive bloodglucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet. 1998; 352: 837–53. 20. UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet. 1998; 352: 854–65. 21. Prevention of cardiovascular disease: An evidence-based clinical aid.
4,6,7 To some extent, these differences reﬂect variations among countries and regions in healthcare budgets and priorities. Reduce high blood pressure The recommended blood pressure goals for individuals at moderate- to low-risk of cardiovascular disease are less strict Recommendations depend on associated clinical conditions, whether target organ damage or indigenous person. b Lower lipid and blood pressure targets may be chosen, and should be individualised according to level of risk as determined using a risk chart.
1–8 How to determine level of risk is discussed in this series in an article on ‘Screening and identifying at-risk patients’. Primary prevention of cardiovascular disease Risk factors for cardiovascular disease may be present in childhood or early adulthood, but it may be decades before clinical disease manifests. However, early treatment to reduce risk factors may prevent onset of cardiovascular disease. To achieve this it is important to educate people identified as being at moderate to low risk about risk factors and lifestyle changes to help prevent them progressing to a higher risk status over time.