(Adnkronos) - “Fare prevenzione secondaria significa impedire che un paziente che ha già avuto un evento cardiaco, come un infarto o un ictus, non ricada in un secondo evento. I fattori da tenere sotto controllo sono ipertensione, diabete e colesterolo Ldl. Più basso è il colesterolo cattivo, meglio è”. Lo ha detto Stefano Carugo, direttore della cardiologia del Policlinico di Milano, in occasione del lancio della campagna Novartis ‘Da quore a cuore’, realizzata con il patrocinio dell’Associazione italiana scompensati cardiaci (Aisc) e dalla Fondazione italiana per il cuore (Fipc).
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00:00Secondary prevention means that a patient has already had an infarction, an ictus,
00:09therefore an event, and must ensure that it does not happen a second time.
00:14So, fight those risk factors that can lead to a new event.
00:19Can you tell us which are the major risk factors to pay attention to?
00:25Hypertension and diabetes are, as the purpose of today's day, cholesterol.
00:29In particular, bad cholesterol, which are the LDLs.
00:33The message is, the lower they are, the better.
00:36This is doing a real secondary prevention.
00:39For the fight against bad cholesterol, we have many drugs that work.
00:44Drugs that are statins, various pills, but also now new technologically advanced drugs,
00:52such as SIRNA and monoclonal antibodies, which, thanks to a subcutaneous injection,
00:58the cholesterol goes down really a lot, without problems for patients.
01:02But she was right, the problem is adherence.
01:05The problem is that we have many therapeutic strategies, but then the patients do what they want,
01:11especially me, after they have had an event, which are patients at high risk.
01:17So, we must not give up on the therapy that we doctors prescribe,
01:22which often patients do not do.