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Executive Summary of the 2018 Joint Consensus Document on Cardiovascular Disease Prevention in Italy

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Abstract

Cardiovascular diseases (CVDs) are the leading cause of death, disability and hospitalization in Italy. Primary prevention strategies are able to prevent clinically evident CVDs, mostly by early identifying asymptomatic, otherwise healthy individuals at risk of developing CVDs. A more modern approach recommended for effective CVD prevention is based on “4P”, that is: Predictive, Preventive, Personalized and Participative. This executive document reflects the key points of a consensus paper on CV prevention in Italy, realized though the contribution of different Italian Scientific Societies and the National Research Council, and coordinated by the Italian Society of Cardiovascular Prevention (SIPREC), published in 2018. The need for such document relies on the difficulty to apply “sic et simpliciter” European guidelines, to which this document is largely inspired, to national, regional and local realities, in this Mediterranean country, namely Italy. Indeed, our Country has specific features in terms of demography, socio-cultural habits, distribution and prevalence of risk factors, organization, policy and access to National Health Service compared to other European countries.

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Fig. 1

Derived from Volpe et al. [1]

Fig. 2

Modified from Volpe et al. [11]

Fig. 3

Modified from Volpe et al. [43]

Fig. 4

Derived from Volpe et al. [1]

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Acknowledgements

On behalf of the Writing Committee: Domenico Accettura (Bari), Simonetta Bellone (Novara), Paolo Bellotti (Savona),
Marco Bertolotti (Modena), Claudio Borghi (Bologna), Maurizio Casasco (Brescia), Agostino Consoli (Chieti),
 Raffaele Coppini (Firenze), Alberto Corsini (Milano), Gianfranco Costanzo (Roma), Giovambattista Desideri (L’Aquila), Claudio Ferri (L’Aquila), Giorgio Galanti (Firenze), Franco Giada (Venezia), Giancarlo Icardi (Genova), Niccolò Lombardi (Firenze), Maria Grazia Modena (Modena), Pietro Amedeo Modesti (Firenze), Giorgio Monti (Voghera), Alessandro Mugelli (Firenze), Andrea Orsi (Genova), Gianfranco Parati (Milano), Roberto F.E. Pedretti (Pavia),
Gianluca Perseghin (Monza), Matteo Pirro (Perugia), Roberta Ricotti (Novara), Damiano Rizzoni (Brescia),
 Carlo Rotella (Firenze), Guido Salvetti (Pisa), Patrizio Sarto (Treviso), Federico Tassinari (Genova), Bruno Trimarco (Napoli), Saula Vigili de Kreutzenberg (Padova),
 Roberto Volpe (Roma).

On behalf of the Scientific Societies: SIMI, Società Italiana di Medicina Interna; SID Società Italiana di Diabetologia; SIIA, Società Italiana dell’Ipertensione Arteriosa; SISA Società Italiana per lo Studio dell’Aterosclerosi; CNR, Consiglio Nazionale delle Ricerche; FMSI, Federazione Medico Sportiva Italiana; GICR-IACPR, Gruppo Italiano di Cardiologia Riabilitativa e Preventiva - Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology; SIF, Società Italiana di Farmacologia; SItI, Società Italiana di Igiene Medicina Preventiva e Sanità Pubblica.

Author information

Authors and Affiliations

  1. Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sant’Andrea Hospital, University of Rome Sapienza, Rome, Italy

    Massimo Volpe, Allegra Battistoni, Giovanna Gallo, Speranza Rubattu & Giuliano Tocci

  2. IRCCS Neuromed, Pozzilli, IS, Italy

    Massimo Volpe, Speranza Rubattu & Giuliano Tocci

Authors
  1. Massimo Volpe
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  2. Allegra Battistoni
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  3. Giovanna Gallo
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  4. Speranza Rubattu
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  5. Giuliano Tocci
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Consortia

the Writing Committee

  • Domenico Accettura
  • , Simonetta Bellone
  • , Paolo Bellotti
  • , Marco Bertolotti
  • , Claudio Borghi
  • , Maurizio Casasco
  • , Agostino Consoli
  • , Rafaele Coppini
  • , Alberto Corsini
  • , Gianfranco Costanzo
  • , Giovambattista Desideri
  • , Claudio Ferri
  • , Giorgio Galanti
  • , Franco Giada
  • , Giancarlo Icardi
  • , Niccolò Lombardi
  • , Maria Grazia Modena
  • , Pietro Amedeo Modesti
  • , Giorgio Monti
  • , Alessandro Mugelli
  • , Andrea Orsi
  • , Gianfranco Parati
  • , Roberto F. E. Pedretti
  • , Gianluca Perseghin
  • , Matteo Pirro
  • , Roberta Ricotti
  • , Damiano Rizzoni
  • , Carlo Rotella
  • , Guido Salvetti
  • , Patrizio Sarto
  • , Federico Tassinari
  • , Bruno Trimarco
  • , Saula Vigili de Kreutzenberg
  •  & Roberto Volpe

On behalf of the Scientific Societies

  • SIMI, Societa Italiana di Medicina Interna
  • , SID Societa Italiana di Diabetologia
  • , SIIA, Societa Italiana dell’Ipertensione Arteriosa
  • , SISA Societa Italiana per lo Studio dell’Aterosclerosi
  • , CNR, Consiglio Nazionale delle Ricerche
  • , FMSI, Federazione Medico Sportiva Italiana
  • , GICR-IACPR, Gruppo Italiano di Cardiologia Riabilitativa e Preventiva - Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology
  • , SIF, Societa Italiana di Farmacologia
  •  & SItI, Societa Italiana di Igiene Medicina Preventiva e Sanita Pubblica

Corresponding author

Correspondence to Massimo Volpe.

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Funding

None.

Conflict of interest

Authors have no conflict of interest to disclose.

Ethical approval

This article does not contain data derived by any current studies with human participants performed by any of the authors. The clinical studies mentioned were provided with specific ethical approval.

Additional information

All collaborators for the Writing Commitee and the Scientific Societies are listed in the Acknowledgements.

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Cite this article

Volpe, M., Battistoni, A., Gallo, G. et al. Executive Summary of the 2018 Joint Consensus Document on Cardiovascular Disease Prevention in Italy. High Blood Press Cardiovasc Prev 25, 327–341 (2018). https://doi.org/10.1007/s40292-018-0278-8

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  • DOI: https://doi.org/10.1007/s40292-018-0278-8

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