: + 49 211 600692-0 Fax: + 49 211 600692-10 info@dgk.org die Kommentare und Stellungnahmen der Deutschen Gesellschaft für Kardiologie - Herz- und Kreislaufforschung e.V. A systematic evaluation of the literature since 2014 informed new recommendations. In 2017 the American College of Cardiology and American Heart Association (ACC/AHA) were the first to do so, 2 followed by the European Society of Cardiology and European Society of Hypertension (ESC/ESH) in 2018, 3 and most recently the . Diabetes & Endocrinology . The document also recommends lipid targets of 2.5 mmol/L, 1.8 mmol . 1 A key question for clinicians around the globe is 'How do these guidelines compare with the 2018 ACC/AHA Multisociety Guidelines for the Management of Blood Cholesterol (ACC/AHA Guideline)?'. Reducing CV risk in diabetes in primary care 10' education - Oct. 27, 2020 - Prof. Richard Hobbs, MD. 1):S90-S102 Decision Cycle for Patient-Centered Glycemic Management Davies MJ, D'Alessio DA, Fradkin J, et al. ESC ORIENTATION 2018 Sponsor: European Society of Cardiology and the European Association for the Study of Diabetes Diabetes Care 2019;42(Suppl. Society, European Society of Cardiology PACE-CME ESC/EAS dyslipidaemia guidelines Symposium | 3 September 2019 | Paris, France. Guideline. The 2018 ESC Guidelines for Syncope consist of a full text, supplementary data giving further explanation on specific points, and web-practical instructions. We will discuss the presentation, clinical assessment, investigations, and management of hypertension along with major randomized controlled trials and guidelines. It is not permitted to submit work that has been published and/or is likely to be published before the EASD Abstract submission deadline (1 April 2019, 23:59 hrs. ESC-Guidelines. For patients with type 2 diabetes mellitus (T2DM) at very-high risk, an LDL-C reduction of at least 50% from baseline and an LDL-C goal of below 1.4 mmol/L (<55mg/dL) is recommended. Clipping is a handy way to collect important slides you want to go back to later. The European Society of Cardiology (ESC) has published a series of guidelines on heart failure (HF) over the last 25 years, most recently in 2016. This algorithm for the comprehensive management of dyslipidemia and prevention of cardiovascular disease (CVD) complements the 2017 American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease and provides clinicians with a practical guide that considers the whole patient, their . An dieser Stelle finden Sie Leitlinien der European Society of Cardiology (ESC), auf welche u.a. (2019) 00,1 69 ESC GUIDELINES 2 KEY MESSAGE (1) Epidemiology of STEMI: Although the rate of mortality associated with ischaemic heart disease have reduced in Europe over the last few decades, this is still the single most common cause of death worldwide. DRAFT FOR CONSULTATION Hypertension in adults: NICE guideline DRAFT (March 2019) 1 of 44 1 NATIONAL INSTITUTE FOR HEALTH AND CARE 2 EXCELLENCE 3 Guideline 4 Hypertension in adults: diagnosis and 5 management 6 Draft for consultation, March 2019 7 This guideline covers identifying and treating primary hypertension (high blood pressure) in people aged 18 and over, including people with type 2 . It is recommended to use the same revascularization techniques (i.e. In August 2019, the European Society of Cardiology (ESC), in collaboration with the European Association of Diabetes (EASD), published an update to its guidelines on cardiovascular disease management and prevention in individuals with diabetes or pre-diabetes. Click here to access the corresponding chapter in ESC CardioMed - Section 19 Diabetes mellitus and metabolic syndrome Risk factors for type 2 MI: the usual suspects or guilt by association? The next ESC guideline is not due until 2021. The content of this slide may be subject to copyright: please see the slide notes for details. The research focussed specifically on aspects of clinical inertia as it relates to the prescribing of first, second or third line type 2 diabetes treatments in accordance with clinical guidelines and sought to understand what. Acute type A aortic dissection reconsidered: it’s all about the location of the primary entry tear and the presence or absence of malperfusion, The challenge of risk stratification in suspected angina, in myocardial infarction without risk factors, and in frail patients, Propionate attenuates atherosclerosis by immune-dependent regulation of intestinal cholesterol metabolism, https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model, Receive exclusive offers and updates from Oxford Academic, Open Rank Professorship in Cardiac Physiology, Copyright © 2021 European Society of Cardiology. Your download should start automatically, if not click here to download. 73 Likewise, the 2018 American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD) consensus statement has positioned SGLT-2 inhibitors as . Silvia Valbuena LópezESC GUIDELINES ON DIABETES The interpretation of the CV outcome trials in diabetes therapies and the new recommendations for their place in the management and prevention of CV disease in Type 2 diabetes. Silvia Valbuena LópezESC GUIDELINES ON DIABETES CV outcome trials with newer glucose lowering agents 16 CV outcome trials between 2013 and 2019 6. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. ESC Clinical Practice Guidelines aim to present all the relevant evidence to help physicians weigh the benefits and risks of a particular diagnostic or therapeutic procedure on Diabetes / Pre-Diabetes and Cardiovascular Diseases. Free access to premium services like TuneIn, Mubi, and more. New recommendations for the duration of dual antiplatelet therapy post-ACS in diabetes mellitus (DM). Oxford University Press is a department of the University of Oxford. A systolic BP of >120 and <130 is recommended in younger DM and of >130 and <140 in patients over the age of 65 years (IA). Terms. You can change your ad preferences anytime. al. Course Hero, Inc. The journal publishes original research articles and high-quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology as far as is relevant for diabetology in a primary-care setting. 2019ESC Guidelines on diabetes, pre-diabetes, and cardiovasculardiseases developed in collaboration with the EASD The Task Force for diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD) . February 26, 2019. The SlideShare family just got bigger. Dual antiplatelet therapy is now recommended for up to 3 years (in place of 12 months) in DM patients post-ACS who are without evidence of life-threatening bleeding (IIa A). Advisory board/speaker: AstraZeneca, Boehringer Ingelheim, Bristol Myers Squibb, Eli Lilly, Merck Sharp & Dohme, Mundipharma, Novo Nordisk, and Pfizer. The most clinically relevant new aspects of the 2019 version of the ESC Guidelines compared with the previous version published in 2013 relate to: Reclassification of cardiovascular (CV) risk. Although initial single-pill combination therapy is strongly recommended in both guidelines, the ESC/ESH guideline recommends it as initial therapy in patients at ≥140/90 mm Hg. A focused update of the American College of Cardiology/American Heart Association (ACC/AHA) Task Force on Clinical Practice Guidelines and the Heart Rhythm Society (HRS) 2014 guidelines for the management of patients with atrial fibrillation (AF) was released in January 2019. Download PowerPoint File. The 2019 AHA/ACC cholesterol guideline identifies four statin treatment groups: The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on the management of type 2 diabetes in adults. Grant and Professor Francesco Cosentino, the Task Force chairmen, European Heart Journal, Volume 40, Issue 39, 14 October 2019, Pages . Objective: To compare recent diabetes guideline updates from the American Diabetes Association-European Association for the Study of Diabetes (ADA/EASD) and the American Association of Clinical Endocrinologists-American College of Endocrinology (AACE/ACE). 1336 Hypertension June 2020 advising wider out-of-office BP measurement,2,10 and lower BP targets.1,2,8,11,12 Low- and middle-income regions often follow the re-lease of guidelines from high-income regions closely, as Javier Martínez Ballabriga Natalia Sacristán Ferrer R1 Medicina Familiar y Comunitaria 2. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Dr Akshay Desai, of Harvard Medical School, reviews key studies on heart failure, presented at the European Society of Cardiology (ESC) Congress 2020, which was held as a virtual conference. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk (European Heart Journal 2019 -doi: 10.1093/eurheartj/ehz455) . For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Generally, with more complex disease presentation it is recommended to revascularize with CABG rather than PCI in DM patients with stable CAD and suitable anatomy for both procedures. According to the ESC cholesterol guideline, non-HDL-C evaluation is recommended for risk assessment, particularly in people with high TG levels, diabetes, obesity, or very low LDL-C levels. Three new families of therapies, DPPIV inhibitors and GLP-1 agonists, acting on the incretin system and SGLT2 inhibitors acting on the proximal tubule of the kidney to block urinary glucose re-uptake have been tested in large scale RCTs for CV safety and benefit. A new CV risk stratification is presented to aid in making management decisions and to acknowledge the complexity of disease management in diabetes. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (, Investigating contrasting results in REDUCE-IT and STRENGTH: partial answers but questions remain. They should be essential in everyday clinical decision making. It is recommended that these drugs should be considered if the eGFR is between 30 and 90 mL/min/1.73 m2 (IB). This led to the SGLT2i and GLP-1 agonists being recommended in T2DM at high/very high CV risk to reduce CV events (IA) and empagliflozin and liraglutide (both IB) in patients at high/very high CV risk to reduce the risk of death. Dyslipidemia therapy in the setting of diabetes mellitus. 1. Choice of revascularization techniques in CAD which depends on the complexity of the underlying disease. Insights from the principal investigator, 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice, IAMI: Influenza Vaccination after Myocardial Infarction randomised trial, 2021 ESC Guidelines on cardiac pacing and cardiac resynchronisation therapy (I), No public clipboards found for this slide, Beyond Coffee: A Sustainable Guide to Nootropics, Adaptogens, and Mushrooms, Why Did I Come into This Room? Try our expert-verified textbook solutions with step-by-step explanations. Silvia Valbuena LópezESC GUIDELINES ON DIABETES Recommendations for glucose-lowering treatment 7. Arnett et al 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary Circulation. These 2019 ESCD Guidelines on Diabetes, Pre-diabetes and Cardiovascular Diseases developed in collaboration with the European Association for the Study of Diabetes. Recommendations for the use of PCSK9 inhibitors in lipid management. The ESC has published a series of guidelines on heart failure (HF) over the last 25 years, most recently in 2016123456. In the 2019 guidelines, new targets for BP in diabetes patients are included. The Validity of Animal Experiments in Medical Research.pdf, The University of Lahore - Raiwind Road, Lahore, Lebanese American University • PHARMACY 101, The University of Lahore - Raiwind Road, Lahore • MGT STRATEGIC, Pathophysiology of Heart Disease 4th edition, ESC 2019_Guideline on management of dyslipidaemias.pdf, St. Louis College of Pharmacy • PHARMACY Pharmacy, University of British Columbia • PHARMACY 2nd year c, Copyright © 2021. 2. Peter J Grant, Francesco Cosentino, The 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: New features and the 'Ten Commandments' of the 2019 Guidelines are discussed by Professor Peter J. Blood pressure management has been modified to take into account effects of age and co-existent morbidities. European Heart Journal, ehz467, https://doi.org/10.1093/eurheartj/ehz467. Submission of Abstracts. Aspirin was associated with a relative risk reduction of 12% and a relative risk of major bleeding of 1.29. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) ACTUALIZACIÓN DE OBJETIVOS EN EL TRATAMIENTO DE DISLIPEMIAS Guía Clínica Esc 2019 dislipemias. Taking these tests can allow you to earn CME (Continuing Medical Education) credits. The content of these European Society of Cardiology (ESC) and European Society of Hypertension (ESH) Guidelines has been published for personal and educational use only. These findings led to recommendations that NOACs are recommended in DM with atrial fibrillation (IA) and that the specific NOAC, rivaroxaban, should be considered at low dosage in high-risk diabetes subjects and in those with peripheral artery disease (IIa B), in both cases in combination with aspirin. No commercial use is authorized. Semaglutide and Liraglutide are also associated with lower renal endpoints and should also be considered if the eGFR is >30 mL/min/1.73 m2 (IIa, B). (2019 12-3) ACTUALIZACIÓN GUIAS DISLIPEMIAS 2019 (ppt) 1. The ACC/AHA guideline recommends its use in patients >20/10 mm Hg above blood pressure goal. Permission can be obtained upon submission of a written request to Oxford University Press, the publisher of the European Heart Journal and the party authorized to handle such permissions on behalf of the ESC (journals.permissions@oxfordjour- Whilst updating our recommendations has been a key element in the new guidelines we have continued to emphasize the importance of making individualized care decisions in collaboration with other healthcare workers and informed patients as outlined in the 2013 guidelines. PDF | On Aug 31, 2019, Francesco Cosentino and others published 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD | Find, read and . Access the full texts, presentations from ESC Congress 2020 and an overview of each guideline with the experts in ESC Congress news and ESC TV. Description: Slides | 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease Date: March 17, 2019 Clinical Topics: Arrhythmias and Clinical EP, Diabetes and Cardiometabolic Disease, Dyslipidemia, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Prevention, Pulmonary Hypertension and . The last 10 years have seen a plethora of CV safety trials, initiated in response to a meta-analysis that indicated that the glucose-lowering drug, rosiglitazone, increased CV risk. High- and very high-risk patients may be considered for aspirin therapy and low-dose rivaroxaban with aspirin post-ACS and in the presence of peripheral artery disease. Given the amount of new information that has become available since 2016, the HFA of the ESC recognized the need to review and summarise recent developments in a consensus document. 2019 ESC guidelines on diabetes, pre-diabetes and CVD 10' education - Dec. 2, 2020 - Prof. Francesco Cosentino, MD. B 2.10 If tests are normal, repeat testing carried out at a minimum of 3-year intervals is reasonable. These results are very much in line with other studies of primary prevention. ACC/AHA/HFSA 2017 Heart Failure Focused Update The guidelines advise aiming for a hemoglobin A1c level below 7%, especially in young adults who have not had diabetes for long. The new glucose lowering agents, SGLT2i and GLP-1 agonists are recommended as first-line therapy in T2DM with established CVD or high/very high CV risk. Last updated: 2019. The next ESC guideline is not due until 2021. New guidelines for LDL-C management include <1.4 mmol/L (55 mg/dL) in very high-risk patients, with the use of PCSK9 inhibitors if unachievable with intensive statin therapy plus ezetimibe. New lipid targets relating to severity of CV risk. The development of PCSK9 inhibitors has allowed us to contemplate achieving low levels of low and not low-density lipoprotein cholesterol (LDL-C) which were previously not possible with statins and ezetimibe. Lipid targets have been modified to harmonize with the new risk categories described above. Looks like you’ve clipped this slide to already. New guidelines for the diagnosis and management of chronic coronary syndromes (CCS) 1 were released during the 2019 European Society of Cardiology (ESC) Congress. Metformin has formerly been recommended as first-line treatment in all overweight Type 2 DM. Given the amount of new information that has become available since then, the Heart Failure Association (HFA) of the ESC recognized the need to review an … This preview shows page 1 - 5 out of 20 pages. Published on April 28, 2017, available at: Yancy, et. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary Endorsed by the American Association of Cardiovascular and Pulmonary . J Clin Lipidol. 5,6 *Proteinuria or kidney failure (estimated glomerular filtration rate <30 mL/min/1.73 m 2), left ventricular hypertrophy, or retinopathy. Silvia Valbuena López resalta los aspectos más relevantes de las nuevas guías europeas de diabetes, publicadas en París. Corresponding author: Peter J. Search for other works by this author on: Cardiology, Karolinska Institute & Karolinska University Hospital. You can also attend ESC webinars that focus on implementing guidelines in the clinical setting. Sign up for a Scribd 30 day free trial to download this document plus get access to the world’s largest digital library. This is the second iteration of the European Society of Cardiology (ESC) and European Association for the Study of Diabetes (EASD) joining forces to write guidelines on the management of diabetes . See our User Agreement and Privacy Policy. F.C. The new guidelines are also available in the ESC Pocket Guidelines app. An LDL-C goal of aiming for a hemoglobin A1c level below 7,! Esc webinars that focus on implementing guidelines in the management of Type 2 diabetes management and.... The management of Heart failure ( HF ) over the last 25,. Not click here to download show you more relevant ads use in with... Karolinska Institute & Karolinska University Hospital diabetes mellitus, Stroke, Vascular disease age... Written permission from the ESC Pocket guidelines app new guidelines are applicable to both men and women except... 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