{"id":5875,"date":"2016-07-01T14:14:45","date_gmt":"2016-07-01T14:14:45","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=5875"},"modified":"2016-07-01T14:14:45","modified_gmt":"2016-07-01T14:14:45","slug":"imi-doresc-ca-romanii-sa-devina-tot-mai-constienti-de-necesitatea-reducerii-riscului-lor-cardiovascular","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/imi-doresc-ca-romanii-sa-devina-tot-mai-constienti-de-necesitatea-reducerii-riscului-lor-cardiovascular\/","title":{"rendered":"\u00cemi doresc ca rom\u00e2nii s\u0103 devin\u0103\u00a0tot mai con\u015ftien\u021bi de necesitatea\u00a0reducerii riscului lor cardiovascular!"},"content":{"rendered":"

Recent, a\u0163i fost numit membru \u00een Conducerea European Heart Network. Ce rol ave\u0163i \u00een conducerea forului european de preven\u0163ie a bolilor cardiovasculare \u015fi ce avantaje aduce Rom\u00e2niei aceast\u0103 numire?<\/strong><\/p>\n

European Heart Network reprezint\u0103 \u201cLiga Funda\u0163iilor Inimii\u201d din Europa iar eu sunt primul profesor de cardiologie ales \u00een acest board dominat de speciali\u015fti \u00een \u201cfundraising\u201d \u015fi exper\u0163i \u00een programe de preven\u0163ie popula\u0163ional\u0103 din Europa de Vest. Alegerea mea \u00een aceast\u0103 pozi\u0163ie se datoreaz\u0103 mai ales performan\u0163elor \u00eenregistrate de Funda\u0163ia Rom\u00e2n\u0103 a Inimii – \u00een 5 ani de la lansarea sa a devenit cea mai activ\u0103 funda\u0163ie a inimii din Europa Central\u0103 \u015fi de Est. Ce avantaje aduce aceast\u0103 numire Rom\u00e2niei? \u00cen primul r\u00e2nd avem acces direct la modele de implementare din alte \u0163\u0103ri europene. \u00cen al doilea r\u00e2nd \u0163ara noastr\u0103 dob\u00e2nde\u015fte o vizibilitate \u015fi credibilitate crescut\u0103 \u00een Europa \u015fi o \u201cpozi\u0163ionare pe harta Europei\u201d. Nu \u00een ultimul r\u00e2nd, trebuie men\u0163ionat lobby-ul puternic pe care European Heart Network \u00eel poate face pe l\u00e2ng\u0103 Parlamentul European referitor la s\u0103n\u0103tatea cardiovascular\u0103 \u00een Uniunea European\u0103, cu consecin\u0163\u0103 direct\u0103 asupra \u00eembun\u0103t\u0103\u0163irii s\u0103n\u0103t\u0103\u0163ii rom\u00e2nilor.<\/em><\/p>\n

Care sunt programele europene de preven\u0163ie pe care considera\u0163i c\u0103 Rom\u00e2nia trebuie s\u0103 le adopte pentru a reduce inciden\u0163a bolilor cardiovasculare?<\/strong><\/p>\n

    \n
      \n
    1. Popula\u0163ional\u0103: informare, con\u015ftientizare \u015fi facilitare a accesului la o atitudine s\u0103n\u0103toas\u0103. Focus-ul prioritar ar trebui s\u0103 fie pe FUMAT (at\u00e2t prin legi c\u00e2t \u015fi prin sus\u0163inerea guvernamental\u0103)<\/em><\/li>\n
    2. Risc \u00eenalt: depistare precoce \u015fi tratament individualizat,cu focus pe COLESTEROL (printr-un program na\u0163ional) \u015fiHIPERTENSIUNE ARTERIAL\u0102 (printr-un algoritm na\u0163ional!)<\/em><\/li>\n
    3. Preven\u0163ie secundar\u0103: acces la medica\u0163ie preventiv\u0103 (de exemplu gratuitate la statine post infarct miocardic!)<\/em><\/li>\n<\/ol>\n<\/ol>\n

      La fel ca \u00een multe alte aspecte negative, \u015fi \u00een ceea ce prive\u015fte afec\u0163iunile cardiovasculare, Rom\u00e2nia se men\u0163ine pe locurile frunta\u015fe \u00een UE. Sunt rom\u00e2nii mai bolnavi dec\u00e2t ceilal\u0163i europeni?<\/strong><\/p>\n

      Nu pot spune c\u0103 rom\u00e2nii sunt mai bolnavi dec\u00e2t restul europenilor, dar cu siguran\u0163\u0103 sunt mai pu\u0163in con\u015ftien\u0163i de riscul cardiovascular pe care \u00eel au. De ce tr\u0103im cu 10 ani mai pu\u0163in dec\u00e2t occidentalii, c\u00e2nd de fapt suntem cet\u0103\u0163eni ai aceea\u015fi \u0163\u0103ri, Uniunea European\u0103? Acest fapt se datoreaz\u0103 unei combina\u0163ii \u00eentre un stil de via\u0163\u0103 nes\u0103n\u0103tos \u015fi o finan\u0163are exclusiv\u0103 a tratamentului bolilor \u00een detrimentul preven\u0163iei \u015fi protej\u0103rii s\u0103n\u0103t\u0103\u0163ii, precum \u015fi un cadru permisiv pentru comportamente nes\u0103n\u0103toase (fumatul, alimenta\u0163ia inadecvat\u0103, inactivitatea fizic\u0103), dar \u015fi neimplementarea controlului preventiv modern.<\/em><\/p>\n

      C\u00e2t de mult conteaz\u0103 stilul de via\u0163\u0103 \u00een declan\u015farea bolilor cardiovasculare \u015fi c\u00e2t de mult conteaz\u0103 \u201cgenetica\u201d?<\/strong><\/p>\n

      Genetica conteaz\u0103 aproximativ 30% din total \u2013 dar modul de via\u0163\u0103 s\u0103n\u0103tos poate inhiba expresia genelor \u201cproaste\u201d \u2013altfel spus, po\u0163i tr\u0103i mai mult \u015fi dac\u0103 ai predispozi\u0163ie genetic\u0103 pentru anumite boli cardiovasculare, \u00een condi\u0163iile \u00een care aplici m\u0103surile preventive, incluz\u00e2nd aici controlul preventiv \u015fi tratamentul specializat.<\/em><\/p>\n

      Care sunt bolile cardiovasculare cu cea mai mare inciden\u0163\u0103 \u00een Rom\u00e2nia?<\/strong><\/p>\n

      Boala coronarian\u0103 este boala cu cea mai mare inciden\u0163\u0103 \u00een \u0163ara noastr\u0103! Dar trebuie subliniat aici c\u0103 bolile cardiovasculare \u00een ansamblul lor ucid \u00een Romania de 8 ori mai multe femei dec\u00e2t cancerul de s\u00e2n \u015fi de 5 ori mai mul\u0163i b\u0103rba\u0163i dec\u00e2t cancerul pulmonar!) Iar p\u00e2n\u0103 la 80% dintre aceste boli sunt PREVENIBILE!<\/em><\/p>\n

      Care este leg\u0103tura dintre alimenta\u0163ie \u015fi bolile cardiovasculare?<\/strong><\/p>\n

      Exist\u0103 o leg\u0103tur\u0103 fundamental\u0103 \u00eentre alimenta\u0163ie \u015fi bolile cardiovasculare. Cea mai cunoscut\u0103 ca fiind protectoare pentru inima \u015fi artere este dieta mediteranian\u0103 bazat\u0103 pe legume, fructe, pe\u015fte, cereale integrale, ulei de m\u0103sline, migdale, nuci \u2013 f\u0103r\u0103 a omite \u00eens\u0103 c\u0103 cel mai s\u0103n\u0103tos aliment consumant \u00een cantit\u0103\u0163i enorme poate face mai mult r\u0103u dec\u00e2t cel mai nes\u0103n\u0103tos aliment m\u00e2ncat \u00een cantitate mic\u0103 \u2026 A\u015fa c\u0103 vorbind despre o diet\u0103 s\u0103n\u0103toas\u0103, trebuie s\u0103 ne referim nu doar la tipul de alimente (preferate cele care au aport nutritiv, nu doar caloric), ci \u015fi la cantitate, ritm de administrare, obiceiuri si chiar tabieturi\u2026<\/em><\/p>\n

      Este suficient s\u0103 respect\u0103m un minim de reguli alimentare pentru a preveni \u015fi a combate afec\u0163iunile cardiovasculare?<\/strong><\/p>\n

      Peste jum\u0103tate dintre complica\u0163iile aterosclerozei pot fi prevenite printr-o alimenta\u0163ie s\u0103n\u0103toas\u0103, lipsa fumatului \u015fi activitatea fizic\u0103 zilnic\u0103!<\/em><\/p>\n

      Legat de mi\u015fcare \u0219i de forma fizic\u0103, v-a\u0219 \u00eentreba c\u00e2t conteaz\u0103 pentru pacient exemplul personal al medicului care-l consult\u0103. E important? Sau se aplic\u0103zicala \u201eS\u0103faci ce zicepopa, nu ce face popa\u201d?<\/strong><\/p>\n

      Categoric, DA! Exemplul personal conteaz\u0103 enorm. Eu practic aproape zilnic aproximativ 30 min de activitate fizic\u0103 de intensitate moderat\u0103. Important este \u00eens\u0103 s\u0103-\u0163i \u015fi fac\u0103 placere- lucru esen\u0163ial \u00een g\u0103sirea tipului de efort fizic recomandat, a\u015fa c\u0103 doar \u00eencercarea de a convinge pacientul de necesitatea exerci\u0163iului fizic nu se translateaz\u0103 automat \u00eentr-o activitate zilnic\u0103, pe termen lung. De luat exemplul Atlethic Cardio Club care reune\u015fte nu doar medici din toat\u0103 \u0163ara care practic\u0103 diverse sporturi \u015fi periodic se \u00eentrec \u00een competi\u0163ii, stimul\u00e2nd activitatea fizic\u0103 at\u00e2t \u00een r\u00e2ndul lor c\u00e2t \u015fi a pacien\u0163ilor.<\/em><\/p>\n

      C\u00e2t de mult a evoluat cardiologia \u00een timp?<\/strong><\/p>\n

      \u00cen ultimii 30 de ani speran\u0163a de via\u0163\u0103 \u00een Europa a crescut cu aproximativ 10 ani (din care 7-8 ani se datoreaz\u0103 realiz\u0103rilor din cardiologie).Din p\u0103cate \u00eens\u0103, p\u00e2n\u0103 acum, am ad\u0103ugat ace\u015fti ani la anii de boal\u0103. \u0162elul nostru pe viitor trebuie s\u0103 fie s\u0103 ad\u0103ug\u0103m c\u00e2t mai mul\u0163i ani de s\u0103n\u0103tate!<\/em><\/p>\n

      Prof. Dr. Dan Gai\u0163\u0103, membru \u00een Comitetul Director al European Heart Network<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      Recent, a\u0163i fost numit membru \u00een Conducerea European Heart Network. Ce rol ave\u0163i \u00een conducerea forului european de preven\u0163ie a bolilor cardiovasculare \u015fi ce avantaje aduce Rom\u00e2niei aceast\u0103 numire? European […]<\/p>\n","protected":false},"author":4,"featured_media":5876,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[],"class_list":["post-5875","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu"],"yoast_head":"\n\u00cemi doresc ca rom\u00e2nii s\u0103 devin\u0103\u00a0tot mai con\u015ftien\u021bi de necesitatea\u00a0reducerii riscului lor cardiovascular! - Jurmed - Medici<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/imi-doresc-ca-romanii-sa-devina-tot-mai-constienti-de-necesitatea-reducerii-riscului-lor-cardiovascular\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00cemi doresc ca rom\u00e2nii s\u0103 devin\u0103\u00a0tot mai con\u015ftien\u021bi de necesitatea\u00a0reducerii riscului lor cardiovascular! - Jurmed - Medici\" \/>\n<meta property=\"og:description\" content=\"Recent, a\u0163i fost numit membru \u00een Conducerea European Heart Network. 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