Bài giảng Tiếp cận điều trị dự phòng tối ưu bệnh tim mạch do xơ vữa cập nhật 2019 trình bày các nội dung chính sau: Tiến trình bệnh tim mạch do xơ vữa, tiếp cận dự phòng toàn diện tối ưu ASCVD, kiểm soát lipid máu, kiểm soát đường máu, . Mời các bạn cùng tham khảo để nắm nội dung chi tiết. | Tiếp Cận Điều Trị Dự Phòng Tối Ưu BệnhTim Mạch Do Xơ Vữa Cập Nhật 2019 Best Integrated Prevention of Atherosclerotic Cardiovascular Disease ASCVD Update 2019 PGS TS BS TRẦN VĂN HUY FACC FESC Phó Chủ Tịch Phân Hội THA Việt Nam Chủ Tịch Hội Tim Mạch Khánh Hòa Tiến Trình Bệnh Tim Mạch Do Xơ Vữa Tiếp cận dự phòng toàn diện tối ưu ASCVD BP Lipid lowering modification Optimal CV risk reduction Glucose lowering Antiplatelet LIFESTYLE INTERVENTION Dinh Dưỡng và Tiết Thực Recommendations for Nutrition and Diet COR LOE Recommendations 1. A diet emphasizing intake of vegetables fruits legumes I B-R nuts whole grains and fish is recommended to decrease ASCVD risk factors. 2. Replacement of saturated fat with dietary IIa B-NR monounsaturated and polyunsaturated fats can be beneficial to reduce ASCVD risk. 3. A diet containing reduced amounts of cholesterol and IIa B-NR sodium can be beneficial to decrease ASCVD risk. 4. As a part of a healthy diet it is reasonable to minimize the IIa B-NR intake of processed meats refined carbohydrates and sweetened beverages to reduce ASCVD risk. III- 5. As a part of a healthy diet the intake of trans fats should B-NR be avoided to reduce ASCVD risk. Harm 2019 ACC AHA Guideline on the Primary Prevention of Cardiovascular Disease. JACC 3 2019 Adverse Effects of Physical Inactivity Physical Inactivity Inflammation Dyslipidemia Age Hypertension Diabetes Mellitus Smoking Obesity Hypercoagulability Genetics Atherosclerosis Novel Risk Factors Exercise and Physical Activity Recommendations for Exercise and Physical Activity COR LOE Recommendations 1. Adults should be routinely counseled in healthcare visits I B-R to optimize a physically active lifestyle. 2. Adults should engage in at least 150 minutes per week of accumulated moderate-intensity or 75 minutes per I B-NR week of vigorous-intensity aerobic physical activity or an equivalent combination of moderate and vigorous activity to reduce ASCVD risk. 2019 ACC AHA Guideline on the Primary .