Consits of two parts: the first part draws together the presentations and discussion of the ILO research roundtable, May 2009 ; and the second part sheds light on the auto industry in five countries.
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What is high risk? The current European guidelines on cardiovascular disease (CVD) prevention [2] define high risk as: (i) patients with established coronary heart disease, peripheral artery disease and cerebrovascular atherosclerotic disease; (ii) asymptomatic individuals who are at high risk of developing atherosclerotic cardiovascular disease because of: multiple risk factors resulting in a 10-year risk of 5% or greater now (or if extrapolated to age 60 years) for developing a fatal CVD event; markedly raised levels of single risk factors: cholesterol 8 mmol/l or less (320 mg/ dl), low density lipoprotein cholesterol 6 mmol/l or greater (240 mg/dl), blood pressure 180/110 mmHg or higher.
Le but de ce document est de resumer d'un point de vue clinique les mesures preventives les plus importantes qui font l'objet d'un large consensus et d'en faciliter par la l'application par le practicien. Les cliniciens doivent s'occuper en priorite des patients atteints de coronaropathie et des sujets a risque eleve parce que les resultats de la prevention sont plus importants dans ces deux groupes. Cependant, les deces d'origine coronarienne surviennent, pour la plupart, chez des sujets a faible risque qui sont les plus nombreux. La strategie dirigee vers les sujets a haut risque definie dans ce document doit dont etre associee a des politiques nationales destinees a promouvoir une meilleure hygiene de vie dans la population generale.
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