Investing in cardiovascular prevention: the role of physiotherapy on National Coronary Heart Disease Day

National Coronary Heart Disease Day is on 14 February, a date set by the Portuguese Cardiology Foundation to raise awareness of cardiovascular disease prevention, early recognition of the symptoms of acute myocardial infarction and the adoption of healthy lifestyles.

The Order of Physiotherapists joins this event, emphasising the importance of cardiovascular prevention and the contribution of physiotherapy in promoting health throughout the life cycle.

Cardiovascular diseases continue to be the leading cause of death in Portugal, accounting for around 29% of deaths.

The main risk factors include high blood pressure, dyslipidaemia, smoking, obesity, a sedentary lifestyle and diabetes - largely modifiable conditions that require a structured and sustained preventive approach.

Scientific evidence shows that a significant proportion of cardiovascular diseases can be prevented by adopting healthy lifestyles. Regular physical activity, body weight control, smoking cessation and appropriate clinical monitoring are essential pillars in reducing cardiovascular risk.

In this context, physiotherapy plays an important role in promoting safe and individualised physical activity, assessing functional fitness and empowering people to manage their risk factors. Physiotherapy intervention, particularly in primary healthcare and in structured cardiac rehabilitation programmes, helps to improve physical fitness, reduce the likelihood of new cardiovascular events and promote greater autonomy and quality of life.

After a coronary event, physiotherapy integrated into multidisciplinary rehabilitation programmes, with intervention based on scientific evidence and aimed at functional recovery, physical reconditioning and reintegration into active life, can be decisive in reducing disability and improving health outcomes.

On this National Coronary Heart Disease Day, the Order of Physiotherapists recalls that investing in prevention means investing in more years of life with functionality, autonomy and active participation, and that physiotherapy is an essential element in building a healthier society.

Pedro Maciel Barbosa

Specialist physiotherapist at the Matosinhos Local Health Unit Sub-coordinator for Primary Health Care, Matosinhos Local Health Unit Visiting Assistant Professor at the Porto School of Health Member of the Board of Directors of the Foundation for Health - SNS Member of the General Council of the Order of Physiotherapists

Carlos Sand

Carlos Areia has been a physiotherapist since 2013, and has worked in various hospitals, clinics and clubs in both Portugal and the UK. He began his academic career at Oxford University in 2016, where he led a clinical trial comparing physiotherapy vs surgery in anterior cruciate injuries in 32 hospitals in England. In 2018 she moved to the neurosciences department, where she developed her own studies on remote monitoring of vital signs, which were implemented during the pandemic. Here he discovered his passion for data, and in 2022, he joined Digital Science as a Data Scientist. He completed his PhD earlier this year, and has more than 60 publications in journals such as The Lancet, BMJ, Cochrane, among others. He is also an honorary lecturer at Oxford Brookes University and a consultant in clinical research.

Eduardo José Brazete Carvalho Cruz

PhD in Physiotherapy from the University of Brighton, UK. Post-Doctorate in Epidemiology from the National School of Public Health at the New University of Lisbon.
Coordinator of the Studies and Planning Office of the Order of Physiotherapists. Coordinating Professor of the Physiotherapy Department of the School of Health of the Polytechnic Institute of Setúbal (ESS-IPS). President of the ESS-IPS Technical-Scientific Council. Coordinator of the Physiotherapy Department at ESS-IPS. Integrated Researcher at the Comprehensive Health Research Centre (CHRC) (a partnership between FCM-UNL, the National School of Public Health, the University of Évora, the Lisbon Institute of Global Mental Health and Santo Espírito Hospital, Terceira Island, Azores).

Sara Souto Miranda

Sara Souto Miranda has a bachelor's and master's degree in physiotherapy from the University of Aveiro, and a postgraduate qualification in adult respiratory physiotherapy from the same institution. In 2023 she completed her double doctorate in Rehabilitation Sciences/Health, Medicine and Life Sciences at the Universities of Aveiro and Maastricht (Netherlands) and is currently working as a technical-scientific advisor to the Studies and Planning Office (GEP) of the Order of Physiotherapists, and as a guest lecturer at the Piaget Institute in Vila Nova de Gaia. As a member of the Respiratory Research and Rehabilitation Laboratory at the University of Aveiro (Lab3R), she has carried out applied research in which she has assessed and treated patients with respiratory pathology, having taken part in 6 research projects. Throughout her career she has published 19 scientific articles in international peer-reviewed journals with an impact factor, 1 book chapter and more than 50 abstracts in conference proceedings. She was a research volunteer at the Ciro rehabilitation centre (Centre for expertise in chronic organ failure) in the Netherlands, and is currently a member of the Guideline Methodology Network of European Respiratory Society. She was honoured by European Lung Foundation e European Respiratory Society for carrying out patient-centred research, by the Directorate General for Higher Education with a merit grant for his master's degree, and by the Ciro Centre with a grant to support research abroad.

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