In 2001, Dr. Naghavi, the founder of SHAPE invited cardiology leaders to answer these 10 questions. Now after 15 years it is interesting to review the answers and compare the predictions with the reality. The fact is that very little to no progress has been made for the early detection of vulnerable patients and for the prevention of sudden heart attacks. Preventive cardiology is at least 15 years behind and needs to innovate and move faster!
Q.3- We know that a significant number of patients with coronary artery disease do not have any of the traditional risk factors, and on the other hand some people with high cholesterol and other risk factors live long (80s y) but never experience heart attack? What does it mean to you? Do we know enough? Should we look for protective factors?