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Article ; Online: Lights and shadows of the 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice.

Martín-Rioboó, Enrique / Brotons-Cuixart, Carlos / Ruiz García, Antonio / Villafañe Sanz, Fátima / Frías Vargas, Manuel / Moyá Amengual, Ana / Divisón Garrote, Juan Antonio / Seoane Vicente, María Cruz / Banegas, José R / Pallarés Carratalá, Vicente

Revista espanola de salud publica

2023 Volume 97

Abstract: General practitioners see in their consultation a a significant number of patients at high vascular risk (VR). The European Guidelines for Cardiovascular Disease Prevention (2021) recommend a new risk classification and intervention strategies on on ... ...

Title translation	Luces y sombras de la Guía Europea esc-2021 de Prevención de la Enfermedad Cardiovascular en la Práctica Clínica.
Abstract	General practitioners see in their consultation a a significant number of patients at high vascular risk (VR). The European Guidelines for Cardiovascular Disease Prevention (2021) recommend a new risk classification and intervention strategies on on vascular risk factors (RF), with the aim of providing a shared decision-making recommendations between professionals and patients. In this document we present a critical analysis of these guidelines, offering possible solutions that can be implemented in Primary Care. It should be noted that there are positive aspects (lights) such as that the SCORE2 (from forty to sixty-nine years) and SCORE2-OP models (from seventy to eighty-nine years) are based on more current cohorts and measure cardiovascular risk in a more accurately manner. In addition, it is proposed to differentiate different risk thresholds according to age-groups. For sake of practicality, cardiovascular risk can be estimated using different websites with the new computer models. However, among the negative aspects (shadows), it seems to be add complexity implementing nine subgroups of subjects according to their age or level of risk, with a defined thresholds that could cause a substantial increase in the potential number of subjects susceptible to treatment without a clear evidence that supports it. In addition, two-step RF interventions could delay achievement of therapeutic goals, especially in very high-risk patients, diabetics, or patients with cardiovascular disease. Given these limitations, in this document we propose practical recommendations in order to simplify and facilitate the implementation of the guideline in primary care.
MeSH term(s)	Humans ; Cardiovascular Diseases/prevention & control ; Spain ; Risk Factors ; Referral and Consultation ; Retrospective Studies
Language	Spanish
Publishing date	2023-08-16
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	1288657-9
ISSN	2173-9110 ; 0034-8899 ; 1135-5727
ISSN (online)	2173-9110
ISSN	0034-8899 ; 1135-5727
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Article: Validity and reliability of the Berlin questionnaire for the detection of moderate or severe obstructive sleep apnea in patients aged 40 years or older detected from primary care.

Navarrete-Martínez, Esther / Muñoz-Gómez, Rafaela / Serrano-Merino, Jesús / Perula-de Torres, Luis Angel / Vaquero-Abellán, Manuel / Silva-Gil, Fátima / Roldán-Villalobos, Ana / Martín-Rioboó, Enrique / Ruiz-Moruno, Javier / Romero-Rodríguez, Esperanza / González-Lama, Jesús / Montes-Redondo, Gertrudis

Frontiers in medicine

2023 Volume 10, Page(s) 1229972

Abstract: Background: The obstructive sleep apnea syndrome (OSA) is a highly prevalent condition. In Spain and other countries, only 5%-9% of patients with OSA have been diagnosed and treated. The lack of accessibility to diagnosis is considered the main cause of ...

Abstract	Background: The obstructive sleep apnea syndrome (OSA) is a highly prevalent condition. In Spain and other countries, only 5%-9% of patients with OSA have been diagnosed and treated. The lack of accessibility to diagnosis is considered the main cause of this situation through easy-to-use screening instruments, it is necessary to check their validity and reliability in the context where they are to be used. Objective: To validate the Spanish translation of the Berlin questionnaire for screening for moderate or severe OSA in patients aged 40 years or more detected in primary care. Methods: A descriptive observational study, with a first qualitative phase of transcultural adaptation to Spanish using the translation-back-translation method. Setting: primary care level of the Spanish National Health System. A total of 255 patients recruited from 7 healthcare centers completed the study. The Berlin questionnaire was administered to the recruited patients, and subsequently, a respiratory polygraphy was performed to confirm the diagnosis of OSA. The concurrent criterion validity of the questionnaire and its reliability in terms of internal consistency and reproducibility (intra-observer agreement) were analyzed. Results: The patients' mean age was 54.76 years (SD: 6.57; 95% CI: 53.53-54.99), and 54.12% were men (95% CI: 47.96-60.27). We found that 61.57% (95% CI: 55.57-67.57) presented OSA (apnea-hypopnea index-AHI >5), and 45.5% (95% CI: 17.05-57.92) presented moderate or severe (AHI >15) OSA. The Berlin questionnaire, with a cut-off point of 4.5, showed a sensitivity of 76.77% (95% CI: 67.94-85.59), a specificity of 74.49% (95% CI: 65.35-83.63), a positive predictive value of 75.25% (95% CI: 66.34-84.16), a negative predictive value of 76.04% (95% CI: 66.98-85.10), and an area under the curve of 0.786 (95% CI: 0.721-0.851). Cronbach's alpha coefficient was 0.730 (95% CI: 0.668-0.784), and the Kappa index was 0.739 (95% CI, 0.384-1.000). Conclusion: The Spanish adaptation of the Berlin questionnaire has good validity and reliability as a test for the diagnostic screening of moderate or severe OSA in patients aged 40 years or older. The findings of our study confirm that primary care physicians should use such screening tools to predict OSA.
Language	English
Publishing date	2023-08-14
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2023.1229972
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Article ; Online: Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2022.

Orozco-Beltrán, Domingo / Brotons Cuixart, Carlos / Banegas Banegas, Jose R / Gil Guillén, Vicente F / Cebrián Cuenca, Ana M / Martín Rioboó, Enrique / Jordá Baldó, Ariana / Vicuña, Johanna / Navarro Pérez, Jorge

Atencion primaria

2022 Volume 54 Suppl 1, Page(s) 102444

Abstract: The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: epidemiological review, where the current morbidity ...

Title translation	Cardiovascular preventive recommendations. PAPPS 2022 thematic updates. Working groups of the PAPPS.
Abstract	The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; cardiovascular (CV) risk and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.
MeSH term(s)	Humans ; Hypertension/diagnosis ; Hypertension/prevention & control ; Risk Factors ; Health Promotion ; Dyslipidemias/complications ; Dyslipidemias/diagnosis ; Dyslipidemias/drug therapy ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/prevention & control
Language	Spanish
Publishing date	2022-11-26
Publishing country	Spain
Document type	English Abstract ; Journal Article
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2022.102444
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Article ; Online: Diagnóstico en hipertensión arterial: cuando las técnicas no son accesibles en atención primaria y además se producen inequidades.

Martín Rioboó, Enrique / Banegas, Jose Ramón / Pérula de Torres, Luis Angel / Lobos Bejarano, Jose María

Atencion primaria

2018 Volume 50, Issue 8, Page(s) 455–458

Title translation	Diagnosis in blood hypertension: When the techniques do not are accessible in primary care and are also produced inequities.
MeSH term(s)	Blood Pressure Determination/methods ; Blood Pressure Determination/statistics & numerical data ; Blood Pressure Monitoring, Ambulatory/methods ; Blood Pressure Monitoring, Ambulatory/statistics & numerical data ; Evidence-Based Medicine ; Family Practice/statistics & numerical data ; Humans ; Hypertension/diagnosis ; Primary Health Care ; Spain
Language	Spanish
Publishing date	2018-04-11
Publishing country	Spain
Document type	Editorial
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2018.03.001
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Article ; Online: Management of Anticoagulants in Procedures That Can Cause Bleeding.

Martín-Rioboó, Enrique / Martín-Mañero, Cristina / Medina-Durán, Paula / Pérula-de Torres, Luis Angel

Revista espanola de cardiologia (English ed.)

2018 Volume 71, Issue 10, Page(s) 878

MeSH term(s)	Administration, Oral ; Anticoagulants ; Hemorrhage ; Humans
Chemical Substances	Anticoagulants
Language	Spanish
Publishing date	2018-07-17
Publishing country	Spain
Document type	Letter ; Comment
ISSN	1885-5857
ISSN (online)	1885-5857
DOI	10.1016/j.rec.2018.05.024
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Article ; Online: The usefulness of the Spanish version of the STOP-Bang questionnaire for screening for moderate or severe sleep apnea syndrome in primary care.

Muñoz-Gómez, Rafaela / Navarrete-Martínez, Esther / Serrano-Merino, Jesús / Silva-Gil, Fátima / Roldán-Villalobos, Ana / Martín-Rioboó, Enrique / Ruiz-Moruno, Javier / Romero-Rodríguez, Esperanza / Gonzalez-Lama, Jesus / Vaquero-Abellán, Manuel / Perula-de-Torres, Luis Angel

Frontiers in public health

2022 Volume 10, Page(s) 975114

Abstract: Rationale: Sleep apnea-hypopnea syndrome (OSA) is a highly prevalent disease and has been related to cardiovascular diseases and occupational and traffic accidents. Currently, it is estimated that there is a significant underdiagnosis of OSA, mainly due ...

Abstract	Rationale: Sleep apnea-hypopnea syndrome (OSA) is a highly prevalent disease and has been related to cardiovascular diseases and occupational and traffic accidents. Currently, it is estimated that there is a significant underdiagnosis of OSA, mainly due to the difficulty accessing the tests for that purpose. Objective: To determine the usefulness of the Spanish version of the STOP-Bang questionnaire (SBQ) for screening for moderate or severe OSA in the adult population attending primary care. Methods: A descriptive observational multicenter study was conducted. Through an opportunistic search, (patients over 18 years old), were recruited in seven primary care centers. The SBQ was applied to them and home respiratory polygraphy (HRP) was subsequently performed to confirm the diagnosis of OSA. The criterion validity of the SBQ was analyzed, comparing the score obtained by the SBQ with the apnea-hypopnea index (AHI) obtained by RP, establishing the diagnosis of OSA for an AHI>5. The reliability of the questionnaire was evaluated. Results: A total of 255 subjects, 54.1% men, with a mean age of 54.76 ± 10 years, were recruited in the study. The results showed that 61.57% (95% Confidence Interval: 55.57-67.57) of the subjects presented OSA, presenting 22.75% (17.57-57.92) a mild OSA (530) (11.54-20.62). The Kuder and Richardson coefficient was 0.623 (0.335-0.788) and Cohen's Kappa coefficient was 0.871 (0.520-1.00; Conclusions: The SBQ is very effective for detecting moderate/severe OSA. Its psychometric properties are similar to those obtained in studies on other populations. Because of its ease of use, the SBQ is a very useful tool for primary health care professionals.
MeSH term(s)	Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Polysomnography/methods ; Primary Health Care ; Reproducibility of Results ; Sleep Apnea, Obstructive/diagnosis ; Surveys and Questionnaires
Language	English
Publishing date	2022-09-09
Publishing country	Switzerland
Document type	Journal Article ; Multicenter Study
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2022.975114
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Article ; Online: Prospective observational registry of perioperative and periprocedural management of antithrombotic therapy in "real world": the REQXAA study.

Vivas, David / Anguita-Gámez, María / Ferrandis, Raquel / Esteve-Pastor, María Asunción / Echeverri, Marysol / Igualada, Jesús / Anguita, Manuel / Egocheaga, Isabel / Nozal-Mateo, Beatriz / Abad-Motos, Ane / Figuero, Elena / Bouzó-Molina, Nuria / Lozano, Teresa / Álvarez-Ortega, Carlos / Torres, Javier / Descalzo, María José / Catalá, Juan Carlos / Martín-Rioboo, Enrique / Molines, Alejandra /

Rodríguez-Contreras, Rocío / Carnero-Alcázar, Manuel / Marín, Francisco

Revista espanola de cardiologia (English ed.)

2023 Volume 76, Issue 9, Page(s) 729–738

Abstract: Introduction and objectives: There is scarce real-world evidence on the management of perioperative antithrombotic treatment according to current recommendations. The aim of this study was to analyze the management of antithrombotic treatment in ... ...

Abstract	Introduction and objectives: There is scarce real-world evidence on the management of perioperative antithrombotic treatment according to current recommendations. The aim of this study was to analyze the management of antithrombotic treatment in patients undergoing surgery or another invasive intervention and to assess the consequences of this management on the occurrence thrombotic or bleeding events. Methods: This prospective, observational, multicenter and multispecialty study analyzed patients receiving antithrombotic therapy who underwent surgery or another invasive intervention. The primary endpoint was defined as the incidence of adverse (thrombotic and/or hemorrhagic) events after 30 days of follow-up with respect to management of perioperative antithrombotic drugs. Results: We included 1266 patients (male: 63.5%; mean age 72.6 years). Nearly half of the patients (48.6%) were under chronic anticoagulation therapy (mainly for atrial fibrillation; CHA Conclusions: The implementation of recommendations on the perioperative/periprocedural management of antithrombotic therapy in real-world patients is poor. Inappropriate management of antithrombotic treatment is associated with an increase in both thrombotic and hemorrhagic events.
MeSH term(s)	Humans ; Male ; Aged ; Anticoagulants/therapeutic use ; Fibrinolytic Agents/therapeutic use ; Fibrinolytic Agents/adverse effects ; Prospective Studies ; Hemorrhage/chemically induced ; Hemorrhage/epidemiology ; Hemorrhage/complications ; Risk Factors ; Atrial Fibrillation/complications ; Atrial Fibrillation/drug therapy ; Registries ; Platelet Aggregation Inhibitors/adverse effects
Chemical Substances	Anticoagulants ; Fibrinolytic Agents ; Platelet Aggregation Inhibitors
Language	Spanish
Publishing date	2023-03-11
Publishing country	Spain
Document type	Observational Study ; Multicenter Study ; Journal Article
ZDB-ID	2592481-3
ISSN	1885-5857 ; 1885-5857
ISSN (online)	1885-5857
ISSN	1885-5857
DOI	10.1016/j.rec.2023.03.003
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Article ; Online: Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2020.

Orozco-Beltrán, Domingo / Brotons Cuixart, Carlos / Alemán Sánchez, José Juan / Banegas Banegas, José Ramón / Cebrián-Cuenca, Ana M / Gil Guillen, Vicente F / Martín Rioboó, Enrique / Navarro Pérez, Jorge

Atencion primaria

2020 Volume 52 Suppl 2, Page(s) 5–31

Abstract: The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: Epidemiological review, where the current morbidity ...

Title translation	Cardiovascular preventive recommendations. PAPPS 2020 update.
Abstract	The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of cardiovascular diseases (CVD) are presented. The following sections are included: Epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; Cardiovascular (CV) risk tables and recommendations for the calculation of CV risk; Main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; Indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation. The quality of testing and the strength of the recommendation are included in the main recommendations.
MeSH term(s)	Cardiovascular Diseases/prevention & control ; Diabetes Mellitus ; Health Promotion ; Humans ; Hypertension ; Life Style ; Risk Factors
Language	Spanish
Publishing date	2020-12-23
Publishing country	Spain
Document type	Journal Article
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/j.aprim.2020.08.002
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Article ; Online: Características clínico-epidemiológicas de la fibrilación auricular en pacientes de 65 años o más diagnosticados en Atención Primaria.

Pérula de Torres, Luis Ángel / Martín Rioboó, Enrique / González Lama, Jesús / Parras Rejano, Juan Manuel / Fernández García, José Ángel / García Criado, Emilio / Martínez-Adell, Miguel Ángel

Revista espanola de salud publica

2020 Volume 94

Abstract: Objective: The identification of atrial fibrillation in older patients who come to Primary Care consultations is a topic of interest that has been scarcely studied. The objective of this work was to estimate the frequency of new cases of atrial ... ...

Title translation	Clinical-epidemiological characteristics of the atrial fibrillation in patients 65 years of age or older diagnosed in primary care.
Abstract	Objective: The identification of atrial fibrillation in older patients who come to Primary Care consultations is a topic of interest that has been scarcely studied. The objective of this work was to estimate the frequency of new cases of atrial fibrillation and to analyze the clinical-epidemiological characteristics of patients 65 years of age or older, detected in Primary Care in Spain. Methods: An observational, descriptive, national, multicenter study was carried out in 48 health centers, in which 218 doctors and 101 Primary Care nurses recruited 7,068 patients, who underwent an arterial pulse and an electrocardiogram. in case of being abnormal or doubtful, determining the presence of atrial fibrillation and other rhythm disorders, symptoms and signs compatible with atrial fibrillation and comorbidity and cardiovascular risk factors. A univariate, bivariate and multivariate analysis (multiple logistic regression) was performed. Results: The patients had a mean age of 74.41±6.78 (DT) years. 2.3% presented atrial fibrilation (95% CI: 2.0-2.7), being its frequency higher in men (2.9%; p<0.001), and as age increased (p<0.001). The most frequent symptoms present among patients with atrial fibrillation were palpitations (Odds Ratio -OR-=3.50; 95% CI: 2.28-5.37), dyspnea (OR=2.71; 95% CI: 1.87-3.90), general discomfort (OR=2.32, 95% CI: 1.15-4.63), and dizziness (OR=1.80, 95% CI: 1.20-3.51). The 21.8% were asymptomatic. Conclusions: The frequency of new cases of atrial fibrillation in the Spanish population of 65 years or older is high, being higher in men and increasing with age. Two out of ten patients are asymptomatic. Palpitations and dyspnea are the predominant symptoms in patients with atrial fibrillation.
MeSH term(s)	Aged ; Aged, 80 and over ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Comorbidity ; Electrocardiography ; Female ; Humans ; Logistic Models ; Male ; Multivariate Analysis ; Nurses ; Odds Ratio ; Primary Health Care/organization & administration ; Risk Factors ; Spain/epidemiology
Keywords	covid19
Language	Spanish
Publishing date	2020-07-10
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	1288657-9
ISSN	2173-9110 ; 0034-8899 ; 1135-5727
ISSN (online)	2173-9110
ISSN	0034-8899 ; 1135-5727
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Article ; Online: [No title information]

Brotons Cuixart, Carlos / Alemán Sánchez, José Juan / Banegas Banegas, José Ramón / Fondón León, Carlos / Lobos-Bejarano, José María / Martín Rioboó, Enrique / Navarro Pérez, Jorge / Orozco-Beltrán, Domingo / Villar Álvarez, Fernando

Atencion primaria

2018 Volume 50 Suppl 1, Page(s) 4–28

Title translation	Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2018.
MeSH term(s)	Atrial Fibrillation/diagnosis ; Atrial Fibrillation/drug therapy ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/prevention & control ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/therapy ; Dyslipidemias/diagnosis ; Dyslipidemias/drug therapy ; Humans ; Hypertension/diagnosis ; Hypertension/drug therapy ; Platelet Aggregation Inhibitors/therapeutic use ; Risk Assessment ; Risk Factors ; Secondary Prevention
Chemical Substances	Platelet Aggregation Inhibitors
Language	Spanish
Publishing date	2018-06-04
Publishing country	Spain
Document type	Journal Article ; Practice Guideline
ZDB-ID	1200787-0
ISSN	1578-1275 ; 0212-6567
ISSN (online)	1578-1275
ISSN	0212-6567
DOI	10.1016/S0212-6567(18)30360-3
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