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Considerations and Guidance for the Structure, Organisation, and Operation of Cardiometabolic Prevention Units: A Consensus Statement of the Inter-American Society of Cardiology Cover

Considerations and Guidance for the Structure, Organisation, and Operation of Cardiometabolic Prevention Units: A Consensus Statement of the Inter-American Society of Cardiology

Global Heart
Volume 16 (2021): Issue 1
By: Carlos I. Ponte-Negretti,  Fernando Stuardo Wyss,  Daniel Piskorz,  Álvaro Sosa Liprandi,  Alberto Lorenzatti,  Livia Machado,  Patricio López-Jaramillo,  Eduardo Barbosa,  José R. Gómez-Mancebo,  Ricardo López,  Osiris Valdez,  Leonardo Cobos,  Adriana Puente-Barragan,  Gabriela Borrayo and  Emilio Ruiz  
Open Access
|Apr 2021
Figures & tables

Figures & Tables

Figure 1

Diagram of the relationship between the socioeconomic status and the development of cardiometabolic conditions.

Footnote: AD, atherogenic dyslipidemia; CMR, cardiometabolic risk; HT, hypertension; T2DM, type 2 diabetes mellitus.

Table 1

Characteristics and requirements of the different types of cardiometabolic prevention units according to degree of complexity.

Unit TypeObjectiveCoordinating Medical Staff (any of these)Non-medical staffBasic equipmentOptional equipment
Type 1

  • Primordial prevention

  • Primary prevention of low and intermediate risk

  • General practitioner

  • Family physician

  • Internist

  • Cardiologist

  • Endocrinologist

  • Nursing staff or medical assistant

  • Tensiometer

  • Balance

  • Measuring tape

  • Electrocardiograph*

  • Glucometer

  • Dynamometer

Type 2

  • Primary prevention of intermediate and high risk

  • Internist

  • Cardiologist

  • Endocrinologist

  • Nurse or medical assistant*

  • Clinical nutritionist

  • Psychologist*

  • Sphygmomanometer

  • Balance

  • Measuring tape

  • Electrocardiograph

  • Echocardiograph *

  • ABPM*

  • Glucometer

  • Dynamometer

  • Arterial 3D ultrasound*

  • Possibility of ABI measurement*

Type 3

  • Secondary prevention AND

  • Primary prevention of intermediate, high and very high risk

  • Cardiologist

  • Nurse or medical assistant

  • Clinical nutritionist*

  • Psychologist*

  • Physical trainer or sports therapist

  • Sphygmomanometer

  • Balance

  • Measuring tape

  • Electrocardiograph

  • Echocardiograph *

  • ABPM*

  • Possibility of ABI measurement

  • Glucometer

  • Dynamometer

  • Ultra 3D arterial sound*

  • CT for coronary calcium measurement*

[i] * On site or available for reference at the centre and that works in an integrated way with the protocol of the Unit.

ABPM, ambulatory blood pressure monitoring; CT, computed axial tomography; 3D, 3-dimensional; ABI, ankle-brachial index arm.

Figure 2

Diagram of the fundamental steps and periodical evaluations to be performed by cardiometabolic units.

Footnote: AD, atherogenic dyslipidemia; CMR, cardiometabolic risk; HT, hypertension; OB, obesity; T2DM type 2 Diabetes Mellitus.

DOI: https://doi.org/10.5334/gh.960 | Journal eISSN: 2211-8179
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Language: English
Submitted on: Nov 20, 2020
Accepted on: Mar 26, 2021
Published on: Apr 27, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
cardiovascular prevention,
cardiometabolic risk,
cardiometabolic prevention unit

© 2021 Carlos I. Ponte-Negretti, Fernando Stuardo Wyss, Daniel Piskorz, Álvaro Sosa Liprandi, Alberto Lorenzatti, Livia Machado, Patricio López-Jaramillo, Eduardo Barbosa, José R. Gómez-Mancebo, Ricardo López, Osiris Valdez, Leonardo Cobos, Adriana Puente-Barragan, Gabriela Borrayo, Emilio Ruiz, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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