Estrategias de mejora en la salud cardiovascular y el tratamiento de la dislipidemia en España. Proyecto Expert Insights

IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE

Clinica e Investigacion en Arteriosclerosis Pub Date : 2025-07-01 DOI:10.1016/j.arteri.2024.08.007

Juan Pedro-Botet , Román Freixa , Juan José Tamarit , José López-Miranda , Rosa Fernández-Olmo , Ovidio Muñiz-Grijalvo , Rafael Vázquez-García , Carlos Guijarro , Luis Rodríguez-Padial , José Luis Díaz-Díaz , Marisol Bravo-Amaro , José Luís Hernández , José Antonio Alarcón-Duque , José Alfredo Martin-Armas , Martín García-López , Juan Cosín-Sales

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引用次数: 0

Abstract

Objectives

To gather opinions, recommendations, and proposals for improvement from Spanish clinicians on cardiovascular (CV) health, with particular focus on dyslipidemia management.

Methods

The Expert Insights project involved 8 face-to-face sessions held throughout Spain, attended by 138 CV health experts. Clinicians answered to 25 questions survey related to CV health and dyslipidemia control. Each session included an analysis and a discussion on the perceived realities and areas for improvement.

Results

72% of centers have a standardized process for monitoring patients after a CV episode at discharge, but only 37% during their clinical follow-up. Patient care and management are dependent on the physician, with a lack of coordination between hospital specialties and primary care (PC). 95% of clinicians believe it is necessary to standarize treatment optimization. 65% of centers prescribe combined lipid-lowering treatment after a CV episode. Updating cLDL levels in the Therapeutic Positioning Report and standardizing and globalizing the prescription document would reduce iPCSK9 prescription barriers and lead to more equitable access.

Conclusions

In Spain, there are significant deficiencies in the management of dyslipidemia, with a great need for a consensus on standardizing management processes and optimizing patient treatment. The opinions, recommendations, and improvement proposals from Spanish clinicians on CV health are an important starting point to improve the situation.

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西班牙改善心血管健康和治疗血脂异常的策略。专家见解项目。

目的：收集西班牙临床医生对心血管健康的意见、建议和改进意见：收集西班牙临床医生对心血管（CV）健康，尤其是血脂异常管理的意见、建议和改进方案：专家视角 "项目在西班牙各地举行了 8 次面对面会议，共有 138 名心血管健康专家参加。临床医生回答了与 CV 健康和血脂异常控制有关的 25 个问题。每次会议都包括对现实情况和有待改进之处的分析和讨论：结果：72%的中心在患者出院后对其进行了标准化的监测，但只有 37% 的中心在临床随访期间对患者进行了监测。患者护理和管理依赖于医生，医院专科和初级保健（PC）之间缺乏协调。95% 的临床医生认为有必要将治疗优化标准化。65%的医疗中心在冠心病发作后处方联合降脂治疗。更新《治疗定位报告》中的 cLDL 水平，实现处方文件的标准化和全球化，将减少 iPCSK9 处方障碍，使患者更公平地获得治疗：西班牙在血脂异常管理方面存在严重缺陷，亟需就规范管理流程和优化患者治疗达成共识。西班牙临床医生对心血管健康的意见、建议和改进方案是改善现状的重要起点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinica e Investigacion en Arteriosclerosis PERIPHERAL VASCULAR DISEASE-

CiteScore

3.20

自引率

6.20%

发文量

审稿时长

40 days

期刊介绍： La publicación idónea para acceder tanto a los últimos originales de investigación como a formación médica continuada sobre la arteriosclerosis y su etiología, epidemiología, fisiopatología, diagnóstico y tratamiento. Además, es la publicación oficial de la Sociedad Española de Arteriosclerosis.