Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease in Europe through percutaneous cardiovascular interventions.
Our mission is to improve the quality of life of the population by reducing the impact of cardiac rhythm disturbances and reduce sudden cardiac death.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Dr. Tomasz Zdrojewski ,
The Symposium on the role of screening in primary prevention gathered quite a large audience. This is no surprise, because this is a hot issue and an integral bridge to population based interventions and investments introduced by the governmental bodies in low- and high-risk European countries. In England, the NHS has introduced screening of the general population.In the U.S., facts and expectations regarding the intensity of breast cancer screening have evoked some controversies and vivid discussions. Prof. T. Joergensen reported that cancer screening done by professionals with primarily surgical treatment of new cases and short time span really works. Some initial trials showed a 30% reduction in mortality. However, in CVD, risk factor screening projects -even when done by professionals- encounter problems because of the lifestyle changes and medical treatment that are required for final success.Prof. Joergensen stated that health screening and lifestyle counseling does not reduce cardiovacular disease or total mortality in the general population. Most probably this is because we do not reach those who are in greatest need, i.e. lower social classes, and because people do not maintain a lifestyle different from society. Thus, we should concentrate on structural changes in society which have been shown to work (Jørgensen T, Eur J Prev Cardiol 2012, Mozaffarian D, Circulation 2012). Even though the global effects of screening in primary prevention are not very rewarding, the symposium participants could learn much on the progress and the latest evidence on screening and early intervention.Dr. MT. Cooney (London, GB) delivered a comprehensive review of population screening strategies in CVD prevention.Dr. U. Nixdorff (Duesseldorf, DE) presented in a very elegant way the ESC and EACPR guidelines on implementation of imaging methods in screening for cardiovascular risk beyond SCORE. He presented 2012 recommendations on early detection of CVD by magnetic resonance imaging in asymptomatic subjects, as well as coronary calcium score, carotid ultrasound, and ankle–brachial index.Last but not least, the lecture delivered by Dr. M. O'Flaherty (Liverpool, GB) on cost effectiveness of cardiovascular screening and intervention was highly appreciated. CVD experts need strong arguments when talking to and convincing health politicians and decision-makers to invest money in screening and interventions in primary prevention. Health economics is about taking decisions on often competing alternatives. Essentially, CVD is a "screenable" disease. However we don't have much empirical evidence of programme effectiveness based on RCT evidence, like we do for prostate or lung cancer screening programmes.Good quality primary prevention guidelines, agreeing on several points like use of multiple risk-factor based risk estimation, rescreening period and intervention recommendations. However, substantial disagreement exists in terms of target populations and outcomes used for risk estimation, which makes comparisons difficult. In fact, cost effectiveness was not always used to shape guidelines. This analysis is needed for each setting, as the “one size fits all” solution is too simplistic. In high-risk CVD countries, health checks would be more cost effective compared to countries with lower disease burden. However, the decision is not just "to screen or not to screen". The decision is a bit different, since population level interventions offer huge gains in terms of health and usually cost-saving, therefore their value for money is higher.
Role of screening in primary prevention
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