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Optimal treatment of preclinical cardiovascular disease: A narrative review with a focus on carotid artery stenosis - PubMed

6 hours ago
  • #cardiovascular disease
  • #carotid artery stenosis
  • #primary prevention
  • Atherosclerosis has a long preclinical (asymptomatic) period.
  • Optimal management includes behavioral counseling and lifestyle measures.
  • Key lifestyle measures: weight loss, regular exercise, sleep modification, and Mediterranean diet.
  • Control modifiable risk factors: smoking, dyslipidemia, hypertension, and diabetes.
  • Medical therapy targets: BP <130/80 mmHg (or <120/80 if tolerated), HbA1c <7.0%, LDL <70 mg/dL (high-risk) or <55 mg/dL (very high-risk).
  • Focus on carotid artery stenosis in preclinical CVD management.