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European Heart Journal 2003 24(17):1601-1610; doi:10.1016/S0195-668X(03)00347-6
Copyright © 2003 by the European Society of Cardiology.
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Executive summary

European guidelines on cardiovascular disease prevention in clinical practice

Third Joint Task Force of European and other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of eight societies and by invited experts)

Guy De Backer, (Chairperson)e,*, Ettore Ambrosionie, Knut Borch-Johnsena,b, Carlos Brotonsh, Renata Cifkovae, Jean Dallongevillee, Shah Ebrahime, Ole Faergemanc, Ian Grahame, Giuseppe Manciae, Volkert Manger Catsd, Kristina Orth-Gomérg, Joep Perke, Kalevi Pyöräläe, José L Rodiciof, Susana Sanse, Vedat Sansoye, Udo Sechteme, Sigmund Silbere, Troels Thomsene and David Woode

Other experts who contributed to parts of the guidelines, Christian Albus, Nuri Bages, Gunilla Burell, Ronan Conroy, Hans Christian Deter, Christoph Hermann-Lingen, Steven Humphries, Anthony Fitzgerald, Brian Oldenburg, Neil Schneiderman, Antti Uutela, Redford Williams and John Yarnell

ESC Committee for Practice Guidelines (CPG), Silvia G Priori, (Chairperson), Maria Angeles Alonso Garcia, Jean-Jacques Blanc, Andrzej Budaj, Martin Cowie, Veronica Dean, Jaap Deckers, Enrique Fernández Burgos, John Lekakis, Bertil Lindahl, Gianfranco Mazzotta, Keith McGregor, João Morais, Ali Oto, Otto Smiseth and Hans-Joachim Trappe

Document Reviewers, this document has been reviewed by experts, nominated by their societies, who were independent of the Task Force, Andrzej Budaj, (CPG Review Coordinator)e, Carl-David Agardha, Jean-Pierre Bassande, Jaap Deckerse, Maciek Godycki-Cwirkoh, Anthony Heagertye, Robert Heinea, Philip Homeb, Silvia Priorie, Pekka Puskag, Mike Raynerd, Annika Rosengrene, Mario Sammuth, James Shepherdc, Johannes Siegristg, Maarten Simoonse, Michal Tenderae and Alberto Zanchettif

* Corresponding author: Prof. Guy De Backer, University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium
E-mail address: guy.debacker@ugent.be

The first 150 words of the full text of this article appear below.

1. Preamble

Guidelines aim to present all the relevant evidence on a particular issue in order to help physicians to weigh the benefits and risks of a particular diagnostic or therapeutic procedure. They should be helpful in everyday clinical decision-making.

A great number of guidelines have been issued in recent years by different organizations-European Society of Cardiology (ESC), American Heart Association (AHA), American College of Cardiology (ACC), and other related societies. By means of links to web sites of National Societies several hundred guidelines are available. This profusion can put at stake the authority and validity of guidelines, which can only be guaranteed if they have been developed by an unquestionable decision-making process. This is one of the reasons why the ESC and others have issued recommendations for formulating and issuing guidelines.

In spite of the fact that standards for issuing good quality guidelines are well defined, recent surveys of guidelines published . . . [Full Text of this Article]

2. Introduction

2.1. Medical priorities
3. Objectives of cardiovascular prevention

3.1. Total cardiovascular risk as a guide to preventive strategies: the SCORE system
3.2. New imaging methods to detect asymptomatic individuals at high risk for cardiovascular events
4. Management of CVD risk in clinical practice

4.1. Behavioural risk factors
4.2. Stop smoking tobacco
4.3. Make healthy food choices
4.4. Increase physical activity
5. Management of other risk factors

5.1. Overweight and obesity
5.2. Blood pressure
5.3. Plasma lipids
5.4. Diabetes
5.5. The metabolic syndrome
5.6. Other prophylactic drug therapies
5.7. Screening close relatives

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