Royo-Bordonada, Miguel AngelArmario, PedroLobos Bejarano, José MaríaPedro-Botet, JuanVillar Alvarez, FernandoElosua, RobertoBrotons Cuixart, CarlosCortés, OlgaSerrano, BenildeCamafort Babkowski, MiguelGil-Núñez, AntonioPérez, AntonioMaiques, Antoniode Santiago Nocito, Anade Castro, AlmudenaAlegría, EduardoBaeza, CiroYuste-Herranz, Maria EloisaSans, SusanaCampos, Pilar2020-03-262020-03-262017Gac Sanit. 2017 May - Jun;31(3):255-268.0213-9111http://hdl.handle.net/20.500.12105/9339The VI European Guidelines for Cardiovascular Prevention recommend combining population and high-risk strategies with lifestyle changes as a cornerstone of prevention, and propose the SCORE function to quantify cardiovascular risk. The guidelines highlight disease specific interventions, and conditions as women, young people and ethnic minorities. Screening for subclinical atherosclerosis with noninvasive imaging techniques is not recommended. The guidelines distinguish four risk levels (very high, high, moderate and low) with therapeutic objectives for lipid control according to risk. Diabetes mellitus confers a high risk, except for subjects with type 2 diabetes with less than <10 years of evolution, without other risk factors or complications, or type 1 diabetes of short evolution without complications. The decision to start pharmacological treatment of arterial hypertension will depend on the blood pressure level and the cardiovascular risk, taking into account the lesion of target organs. The guidelines don't recommend antiplatelet drugs in primary prevention because of the increased bleeding risk. The low adherence to the medication requires simplified therapeutic regimes and to identify and combat its causes. The guidelines highlight the responsibility of health professionals to take an active role in advocating evidence-based interventions at the population level, and propose effective interventions, at individual and population level, to promote a healthy diet, the practice of physical activity, the cessation of smoking and the protection against alcohol abuse.spaVoRhttp://creativecommons.org/licenses/by-nc-nd/4.0/Alcohol drinkingCardiovascular diseasesCholesterolColesterolConsumo de alcoholDiabetes mellitusEnfermedades cardiovascularesGrasas transGuías de práctica clínicaHipertensión arterialHypertensionPractice Guidelines [Publication Type]Prevención y controlPrevention and controlTabacoTobaccoTrans fatty acidsAge FactorsBiomarkersCardiovascular DiseasesEuropeFemaleHealth PromotionHumansMaleMass ScreeningPatient CompliancePhysician's RoleRisk FactorsSpainLife StylePractice Guidelines as TopicRisk AssessmentAttribution-NonCommercial-NoDerivatives 4.0 Internacional28292529313255-26810.1016/j.gaceta.2016.12.0071578-1283Gaceta sanitariaopen access