• RI - Unifesp
    • Documentos
    • Tutoriais
    • Perguntas frequentes
    • Atendimento
    • Equipe
    • português (Brasil)
    • English
    • español
  • Sobre
    • RI Unifesp
    • Documentos
    • Tutoriais
    • Perguntas frequentes
    • Atendimento
    • Equipe
  • English 
    • português (Brasil)
    • English
    • español
    • português (Brasil)
    • English
    • español
  • Login
View Item 
  •   DSpace Home
  • Escola Paulista de Medicina (EPM)
  • EPM - Artigos
  • View Item
  •   DSpace Home
  • Escola Paulista de Medicina (EPM)
  • EPM - Artigos
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Brazilian guidelines on prevention of cardiovascular disease in patients with diabetes: a position statement from the Brazilian Diabetes Society (SBD), the Brazilian Cardiology Society (SBC) and the Brazilian Endocrinology and Metabolism Society (SBEM)

Thumbnail
View/Open
WOS000405816500001.pdf (1.226Mb)
Date
2017
Author
Bertoluci, Marcello Casaccia
Moreira, Rodrigo Oliveira
Faludi, Andre
Izar, Maria Cristina [UNIFESP]
Schaan, Beatriz D.
Valerio, Cynthia Melissa
Bertolami, Marcelo Chiara
Chacra, Ana Paula
Bolivar Malachias, Marcus Vinicius
Vencio, Sergio
Kerr Saraiva, Jose Francisco
Betti, Roberto
Turatti, Luiz
Helfenstein Fonseca, Francisco Antonio [UNIFESP]
Bianco, Henrique Tria [UNIFESP]
Sulzbach, Marta
Bertolami, Adriana
Nunes Salles, Joao Eduardo
Hohl, Alexandre
Trujilho, Fabio
Lima, Eduardo Gomes
Miname, Marcio Hiroshi
Zanella, Maria Teresa [UNIFESP]
Lamounier, Rodrigo
Sa, Joao Roberto [UNIFESP]
Amodeo, Celso
Pires, Antonio Carlos
Santos, Raul D.
Type
Artigo
ISSN
1758-5996
Is part of
Diabetology & Metabolic Syndrome
DOI
10.1186/s13098-017-0251-z
Metadata
Show full item record
Abstract
Background: Since the first position statement on diabetes and cardiovascular prevention published in 2014 by the Brazilian Diabetes Society, the current view on primary and secondary prevention in diabetes has evolved as a result of new approaches on cardiovascular risk stratification, new cholesterol lowering drugs, and new anti-hyperglycemic drugs. Importantly, a pattern of risk heterogeneity has emerged, showing that not all diabetic patients are at high or very high risk. In fact, most younger patients who have no overt cardiovascular risk factors may be more adequately classified as being at intermediate or even low cardiovascular risk. Thus, there is a need for cardiovascular risk stratification in patients with diabetes. The present panel reviews the best current evidence and proposes a practical risk-based approach on treatment for patients with diabetes. Main body: The Brazilian Diabetes Society, the Brazilian Society of Cardiology, and the Brazilian Endocrinology and Metabolism Society gathered to form an expert panel including 28 cardiologists and endocrinologists to review the best available evidence and to draft up-to-date an evidence-based guideline with practical recommendations for risk stratification and prevention of cardiovascular disease in diabetes. The guideline includes 59 recommendations covering: (1) the impact of new anti-hyperglycemic drugs and new lipid lowering drugs on cardiovascular risk
 
(2) a guide to statin use, including new definitions of LDL-cholesterol and in non-HDL-cholesterol targets
 
(3) evaluation of silent myocardial ischemia and subclinical atherosclerosis in patients with diabetes
 
(4) hypertension treatment
 
and (5) the use of antiplatelet therapy. Conclusions: Diabetes is a heterogeneous disease. Although cardiovascular risk is increased in most patients, those without risk factors or evidence of sub-clinical atherosclerosis are at a lower risk. Optimal management must rely on an approach that will cover both cardiovascular disease prevention in individuals in the highest risk as well as protection from overtreatment in those at lower risk. Thus, cardiovascular prevention strategies should be individualized according to cardiovascular risk while intensification of treatment should focus on those at higher risk.
 
Citation
Diabetology & Metabolic Syndrome. London, v. 9, p. -, 2017.
Keywords
Diabetes mellitus
Cardiovascular prevention
Cardiovascular screening
Blood glucose
Risk factors
Coronary artery disease
Dyslipidemias
Hypertension
Antiplatelet agents
Sponsorship
Amgen
MSD
Sanofi/Regeneron
Sanofi
URI
https://repositorio.unifesp.br/handle/11600/53450
Collections
  • EPM - Artigos [16302]

Related items

Showing items related by title, author, creator and subject.

  • Thumbnail

    I Diretriz brasileira de cardio-oncologia pediátrica da Sociedade Brasileira de Cardiologia 

    Seber, Adriana [UNIFESP]; Miachon, Adriana Siviero [UNIFESP]; Tanaka, Ana Cristina Sayuri; Spinola-Castro, Angela Maria [UNIFESP]; Carvalho, Antonio Carlos [UNIFESP]; Petrilli, Antonio Sergio [UNIFESP]; Macedo, Carla Renata Pacheco Donato [UNIFESP]; Nars, Clarissa Carvalho Fongaro [UNIFESP]; Terzian, Claudia Naufel [UNIFESP]; Castro Junior, Claudio Galvão de; Santos, Cleusa Cavalcanti Lapa; Guerra, Cristina Chaves dos Santos; Silva, Dafne Cardoso Bourguignon da [UNIFESP]; Bassi, Débora Ugayama; Azeka, Estela; Feitosa, Fabiana Aragão; Hamamoto, Fernando [UNIFESP]; Szarf, Gilberto [UNIFESP]; Lederman, Henrique Manoel [UNIFESP]; Rigon Junior, Humberto João; Jatene, Ieda Biscegli; Mota, Isabele Coelho Fonseca da; Perrud, Jeferson Adriano [UNIFESP]; Soares Junior, José; Gutierrez, Julián Arango; Perin, Juliana Pepe Marinho [UNIFESP]; Soares, Juliana dos Santos [UNIFESP]; Catani, Liane Hulle; Tsai, Liliana Yu [UNIFESP]; Vianna, Livia Cristina [UNIFESP]; Paiva, Marcelo Goulart; Santos, Marcelo José; Ishigai, Marcia Marcelino de Souza [UNIFESP]; Diógenes, Maria Suely Bezerra [UNIFESP]; Alves, Maria Teresa de Seixas [UNIFESP]; Piedade, Maria Tereza Castro [UNIFESP]; Parreiras, Mariana; Cypriano, Mônica [UNIFESP]; Negrini, Nilce da Silva [UNIFESP]; Campos Filho, Orlando [UNIFESP]; Figueiredo, Paula Andrade [UNIFESP]; Novaes, Paulo Eduardo [UNIFESP]; Camargo, Paulo Roberto [UNIFESP]; Maia, Priscila dos Santos [UNIFESP]; Petrilli, Renata [UNIFESP]; Arduini, Rodrigo Genaro [UNIFESP]; Gouveia, Roseane Vasconcelos [UNIFESP]; Teruya, Suzana Barbosa Miranda [UNIFESP]; Moisés, Valdir Ambrósio [UNIFESP]; Morais, Vera Lúcia Lins de (Sociedade Brasileira de Cardiologia - SBC, 2013-05-01)
  • Thumbnail

    Guerras culturais em verde e amarelo 

    Arantes, Pedro Fiori [UNIFESP]; Okuma, André [UNIFESP]; Nascimento, Giulia dos Santos [UNIFESP]; Melo, Keyla Vasconcelos de [UNIFESP]; Lorena, Diego [UNIFESP]; Alves, Amanda [UNIFESP]; Brait, Ana Laura [UNIFESP]; Alves, Gustavo Almeida [UNIFESP]; Fernandes, Cristina Naiara [UNIFESP]; Avelino, Larissa [UNIFESP]; Paloma, Oliveira [UNIFESP]; Bertellotti, André Zaparoli [UNIFESP]; Carreño, Rebeca Nieves Inostroza [UNIFESP]; Feo, Amanda [UNIFESP]; Andrade, Bruna [UNIFESP]; Garotti, Josiane [UNIFESP]; Flauto, Larissa [UNIFESP]; Tavares, Melissa [UNIFESP]; Barbosa, Ana Beatriz Tavares [UNIFESP]; Alejarra, Melissa Maria dos Santos [UNIFESP]; Santos, Nicole Pinheiro [UNIFESP]; Dourado, Kamilla [UNIFESP]; Silva, Pamela [UNIFESP]; Goyano, Lucius [UNIFESP]; Meneses, Maria Luiza [UNIFESP]; Ferreira, Gabriela [UNIFESP]; Monteiro, Paloma [UNIFESP]; Oliveira, Marcelo Lauton de [UNIFESP]; Paula, Patrícia Pinheiro Antunes de [UNIFESP]; Santos, Isabella Mendes dos [UNIFESP]; Borges, Júlia Rodrigues [UNIFESP] (Universidade Federal de São Paulo, 2022)
    Queridos/as leitores/as, bem-vindos/as ao nosso campo de batalha – e de estudos. Vocês estão prestes a ler um livro perigoso. Ele fala sobre muito do que estamos vivendo no Brasil dos últimos anos, olhando esse nosso ...

  • Thumbnail

    Experience Report on Setting Up a Transdisciplinary Outpatient Unit for Transgender Health 

    Vieira, Denise Leite [UNIFESP]; Fanganiello, Ana Luiza [UNIFESP]; Zaneti, Marina Milograna [UNIFESP]; Vieira, Fernanda de Sousa [UNIFESP]; Brasolin, Adriano [UNIFESP]; Rocha, Natalia Turena [UNIFESP]; Souza, Eduardo Sodré de [UNIFESP]; Silveira, Mariana [UNIFESP]; Cervi, Thales [UNIFESP]; Penteado, Sonia [UNIFESP]; Brito, Maria Jose [UNIFESP]; Alves, Juliana [UNIFESP]; Mota, Marisa [UNIFESP]; Holanda, Fabiola [UNIFESP]; Tanaka, Luiza [UNIFESP]; Fernandes, Maria Jose [UNIFESP]; Takano, Claudia [UNIFESP]; Yarak, Samira [UNIFESP]; Azevedo, Renata [UNIFESP]; Gois, Aecio [UNIFESP]; Silva, Ivaldo [UNIFESP]; Mari, Jair [UNIFESP]; Pereira, Pedro [UNIFESP]; Ferreira, Lydia [UNIFESP]; Dias-Da-Silva, Magnus R. [UNIFESP] (Wiley, 2017)

DSpace software copyright © 2002-2016  DuraSpace
Contact Us
Theme by 
Atmire NV
 

 

Browse

All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsBy Submit DateThis CollectionBy Issue DateAuthorsTitlesSubjectsBy Submit Date

My Account

Login

Statistics

View Usage Statistics

DSpace software copyright © 2002-2016  DuraSpace
Contact Us
Theme by 
Atmire NV