Statement of the Spanish interdisciplinary vascular prevention committee on the updated European guidelines on cardiovascular disease prevention 2021 Comentario del CEIPV a las nuevas guías europeas de prevención cardiovascular 2021

We present the Spanish adaptation of the 2021 European Guidelines on Cardiovascular Disease (CVD) prevention in clinical practice. The current guidelines besides the individual approach greatly emphasize on the importance of population level approaches to the prevention of cardiovascular diseases. Systematic global CVD risk assessment is recommended in individuals with any major vascular risk factor. Regarding LDL-Cholesterol, blood pressure, and glycemic control in patients with diabetes mellitus, goals and targets remain as recommended in previous guidelines. However, it is proposed a new, stepwise approach (Step 1 and 2) to treatment intensification as a tool to help physicians and patients pursue these targets in a way that fits patient profile. After Step 1, considering proceeding to the intensified goals of Step 2 is mandatory, and this intensification will be based on 10-year CVD risk, lifetime CVD risk and treatment benefit, comorbidities and patient preferences. The updated SCORE algorithm (SCORE2 and SCORE-OP) is recommended in these guidelines, which estimates an individual's 10-year risk of fatal and non-fatal CVD events (myocardial infarction, stroke) in healthy men and women aged 40-89 years. Another new and important recommendation is the use of different categories of risk according different age groups (< 50, 50-69, ≥ 70 years). Different flow charts of CVD risk and risk factor treatment in apparently healthy persons, in patients with established atherosclerotic CVD, and in diabetic patients are recommended. Patients with chronic kidney disease are considered high risk or very high-risk patients according to the levels of glomerular filtration rate and albumin-to-creatinine ratio. New lifestyle recommendations adapted to the ones published by the Spanish Ministry of Health as well as recommendations focused on the management of lipids, blood pressure, diabetes and chronic renal failure are included

Heterogeneity decreases as time since fire increases in a South American grassland

Questions: Disturbances change the fundamental properties of grasslands on different spatio-temporal scales. Uruguay is part of the Río de la Plata grasslands, and 60% is occupied by native grasslands dominated by perennial species. In plant communities dominated by tall tussock grasses, patchy and asynchronous field burns are a traditional practice among ranchers. We asked: how do the structural characteristics of vegetation vary in patches with different time since the last fire? Location: Grassland of the Eastern Hills, Uruguay. Methods: We selected 18 grazed sites in order to obtain a spatial chronosequence with four age categories since the last fire: 6, 18, 30, and more than 60 months before sampling. Plant composition, species richness, coverage of each species, bare soil, and standing dead biomass were determined in plots of 25 m2. We used nonmetric multidimensional scaling (NMDS) and the multiresponse permutation procedure (MRPP) to determine differences in community composition, and the ANOVA or the Kruskal–Wallis test to compare structural variables between patches of different burning ages. Results: Patches of different burning age had different species compositions. Species richness, Shannon diversity index, evenness, and bare soil decreased, whereas plant coverage, standing dead biomass, and vegetation strata increased as time since the last fire increased. Conclusions: Our study confirmed occasional and localized field-burns as major driver of vegetation change and structural diversity in a grazed native grassland dominated by a tall tussock grass. On a larger scale, we observed the coexistence of patches in different successional stages and differences in species composition between patches belonging to early stages. These grasslands require asynchronous burning of patches to generate structural changes that maximize both the spatial and temporal heterogeneity.Agencia Nacional de Investigación e InnovaciónComisión Sectorial de Investigación CientíficaInstituto Nacional de Investigación AgropecuariaComisión Académica de PosgradoInter-American Institute for Global Change Researc