Tiếp Cận Điều Trị Dự Phòng Tối Ưu
BệnhTim Mạch Do Xơ Vữa Cập Nhật 2019
Best Integrated Prevention of Atherosclerotic Cardiovascular
Disease (ASCVD) Update 2019
PGS TS BS TRẦN VĂN HUY FACC FESC
Phó Chủ Tịch Phân Hội THA Việt Nam
Chủ Tịch Hội Tim Mạch Khánh Hòa
Tiến Trình Bệnh Tim Mạch Do Xơ Vữa
Tiếp cận dự phòng toàn diện tối ưu
ASCVD
Lipid
modification
BP
lowering
Glucose
lowering
Optimal
CV risk
reduction
LIFESTYLE INTERVENTION
Antiplatelet
Dinh Dưỡng và Tiết Thực
Recommendations for Nutrition and Diet
COR LOE Recommendations
I B-R
1.
A diet emphasizing intake of vegetables, fruits, legumes,
nuts, whole grains, and fish is recommended to decrease
ASCVD risk factors.
IIa B-NR
2.
Replacement of saturated fat with dietary
monounsaturated and polyunsaturated fats can be
beneficial to reduce ASCVD risk.
IIa B-NR
3.
A diet containing reduced amounts of cholesterol and
sodium can be beneficial to decrease ASCVD risk.
IIa B-NR
4. As a part of a healthy diet, it is reasonable to minimize the
intake of processed meats, refined carbohydrates, and
sweetened beverages to reduce ASCVD risk.
III-
Harm
B-NR
5.
As a part of a healthy diet, the intake of trans fats should
be avoided to reduce ASCVD risk.
2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease. JACC 3/2019
Adverse Effects of Physical Inactivity
Age
Diabetes Mellitus
Obesity
Genetics Atherosclerosis
Hypercoagulability
Smoking
Hypertension
Novel Risk Factors
Inflammation Dyslipidemia
Physical Inactivity