The Causes of the Causes
I am quite sure that the vast majority most of you recognize what the major cardiovascular risk factors (though: there are over 100).
Well, the lifestyle. So far we agree. But what are the determinants that we make certain habits and not others?
Recoiling our steps we find the source of all problems: the causes of the causes of the causes of cardiovascular disease do not fall in hypercholesterolemia and hypertension.
If Ramiro, who lives in a suburb with little playground, a couple of minutes walk from a factory spewing nitrogen and benzene vapor 24 hours a day, which has limited financial resources and therefore less access to food ” Heart-which has an expectation of working life very unsatisfactory, and so on. etc. If Ramirez does not have a healthy lifestyle is because their lives, their natural environment, social, family and staff are not as favorable as he wanted. Does it make sense then that thousands of Ramiros take statins for primary preventionor dedicate these resources to try to improve the lives of these people?
Now, I propose another year. Imagine that hipercolesteromemia treat with statins, and that everything else remains the same. According to data from meta-analysis in primary prevention, statins to prevent achieved after five years of treatment the death of a person as Ramiro we treat 60 to 300 people . Imagine that our friend is one of them, and getting rid of dying from heart attack, but still having a miserable life. Probably end up dying of something else, and quite possibly something related to the causes of their causes (maybe a tumor? A knife in a fight?). Therefore, we can not outwit death, alone, in any case, prolonging lives and change the cause of death …
He explains Iona Heath, British family doctor and president of the Royal College of General Practitioner, in the book “Innovation around the clinical prevention” (partly reflected in this article ):
By Providing Treatment Designed to Prevent particular diseases.Selecting we May Be Another cause of death for unkowningly, and Certainly Without the patient’s informed consent.
Therefore, before rushing into a titanic effort to prevent disease pastillazos effort should be made in each person, try to identify the causes of the causes of their causes, and not to create false hopes that the medicine gets reduced to zero risk of disease, or that prevention is able to outwit death itself .
Idea, reviews and charts from Rafa Cofiño .