Publications by authors named "J R Vicuna"

Article Synopsis
  • The semFYC’s Program for Preventive Activities and Health Promotion (PAPPS) provides updated recommendations for preventing vascular diseases (VD), incorporating new topics like obesity, chronic kidney disease, and metabolic hepatic steatosis.
  • New features include a 'Don't Do' section for various diseases and an epidemiological review of current morbidity and mortality related to cardiovascular diseases (CVD) in Spain, along with key risk factors.
  • The updated guidelines cover risk factor management (e.g., hypertension, diabetes), the importance of lifestyle changes, antiplatelet therapy, atrial fibrillation screening, and the management of chronic conditions, emphasizing the quality of evidence behind recommendations.
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Objective: To evaluate the effectiveness of the incorporation of the clinical assistant in improving the control of type 2 diabetes mellitus and hypertension in a primary care center.

Design: Quasi-experimental study (pre-post), with a control group, with a 1-year follow-up.

Setting: Primary care center.

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The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; cardiovascular (CV) risk and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.

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Introduction: The function to estimate lifetime cardiovascular risk -IBERLIFERISK- in Spanish working population, obtained a satisfactory discrimination; however, there was a slight overestimation of the risk in men and an underestimation of the risk in women.

Objective: To recalibrate the current lifetime risk equation after extending the follow-up by 3 years.

Methods: Retrospective cohort study.

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