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Authors

Jamilah S AlRahimi, Department of Cardiac Sciences, King Abdulaziz Medical City, Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia AND Collage of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi ArabiaFollow
Shukri M. Al Saif, Seha Virtual Hospital, Saudi Arabia
Laith Hussain-Alkhateeb, Global Health Research Group, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Population Health Research Department, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; College of Public Health & AND Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
Ali M. Albarrati, Professor and Consultant of Rehabilitation and Cardiopulmonary Rehabilitation, Rehabilitation Sciences Department, King Saud University, Riyadh, Saudi Arabia
Owayed M. Alshammeri, Dr. Sulaiman Al Habib Hospitals, Alrayyan Hospital, Riyadh, Saudi Arabia
Talal S. Alghamdi, Consultant of Family Medicine and Preventive Cardiology, Head of Family Medicine & Primary Health Care Services, Al Hammadi Hospitals Group, Riyadh, Saudi Arabia
Khalid A. Al Faraidy, King Fahad Military Medical Complex, Dhahran, Saudi Arabia
Ada M Al-Qunaibet, Public Health Authority, Riyadh, Saudi Arabia
Nada A. Alnaji, Manager, Non-Communicable Disease Programs and Policies, Gulf Center for Diseases Prevention and Control, Riyadh, Saudi Arabia
Rasha A. Alfawaz, Director, Public Health Programs and Policies, Gulf Center for Disease Prevention and Control, Riyadh, Saudi Arabia
Waleed M. Alharbi, Department of Cardiac Sciences, College of Medicine, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
Waleed A. AlHabeeb, Department of Cardiac Sciences, King Saud University. Riyadh, Saudi Arabia
Fahad M. Alnouri, Head of the Cardiovascular Prevention Unit, Prince Sultan Cardiac Centre, Riyadh, Saudi Arabia
Adel A. Tash, Director, National Heart Center, Saudi Health Council, Riyadh, Saudi Arabia

Abstract

Objectives: To develop an evidence-based clinical guideline for the prevention and management of cardiovascular diseases (CVDs) in Saudi Arabia, tailored to local epidemiology and healthcare needs.

Methods: A multidisciplinary task force comprising cardiologists, public health specialists, and epidemiologists from different healthcare sectors in Saudi Arabia developed the guideline. Evidence synthesis was based on a comprehensive literature review and adaptation of international guidelines, particularly the 2021 European Society of Cardiology recommendations, contextualized to the Saudi setting.

Results: The guideline provides recommendations for both primary and secondary CVD prevention. Primary prevention emphasizes risk assessment incorporating genetic, lifestyle, and clinical factors, as well as lipid and glucose profiling. Lifestyle modifications, including dietary changes, smoking cessation, physical activity, weight management, and psychosocial support, are prioritized. Pharmacologic therapy targets lipid levels, blood pressure, and glycemic control, tailored to individual risk categories. For secondary prevention, strategies include post-event risk stratification, comorbidity management (diabetes, hypertension, chronic kidney disease), and optimization of pharmacologic therapy for coronary artery disease, heart failure, cerebrovascular disease, and peripheral artery disease. Lifestyle interventions, supervised cardiac rehabilitation, and routine follow-up for complication monitoring and treatment adjustment are integral components.

Conclusion: This guideline presents an updated, evidence-based framework specifically designed for the Saudi population, underscoring prevention, lifestyle modification, and optimized pharmacologic management to address the rising burden of CVDs.

Article Type

Clinical Practice Guideline

First Page

120

Last Page

177

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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