12:30 PM – 1:30 PM – SESSION 6
Intégration des soins pour les maladies cardiovasculaires, rénales et métaboliques
Points forts de la session
In this WHF Heart Café conversation, moderator Larry Sperling (Emory) hosts Andrés Rosende (PAHO/HEARTS in the Americas), Tazeen Jafar (Duke–NUS/Duke), and Naveed Sattar (University of Glasgow) to unpack integrated care across Cardio-Kidney-Metabolic (CKM) disease. The panel explores the interconnectedness of cardiovascular, kidney, and metabolic conditions; the rising burden from obesity and diabetes; scalable primary-care solutions like HEARTS clinical pathways; team-based and community models; and how digital health/AI, prevention policy (food environment), and climate risks can be addressed to make care more comprehensive, equitable, and effective.
Principaux enseignements
CKM is one system
Cardiovascular, kidney, and metabolic diseases share pathophysiology and risks; siloed guidelines miss multimorbidity and real-world needs.
Epidemiology is shifting
Obesity/diabetes are accelerating CKM burden at younger ages; social determinants and ultra-processed food environments amplify risk.
From guidelines to pathways
HEARTS-style integrated clinical pathways (simple ≠ simplistic) help primary care deliver consistent BP, lipids, diabetes, vaccination, and CKD care.
Team-based, community care works
Task-sharing with nurses and community health workers, kiosks, and telehealth builds access and trust in LMICs and remote settings.
AI as co-pilot
Use AI decision support to personalize therapy and close gaps—always with human oversight and local adaptation.
Climate & infections matter
Heat stress, pollution, toxins, and infectious-disease links raise CKM risk; include vaccination and resilience planning in pathways.
Best buy = prevention & policy
Advocate for healthier food environments, activity-friendly cities, and early-life prevention alongside scalable primary-care protocols.
Qui doit regarder ?
Cardiologists, nephrologists, endocrinologists, GPs, nurses, pharmacists, public-health leaders, payers, digital-health teams, environmental-health experts, and community advocates building integrated CKM care, HEARTS-aligned primary care, and prevention policy.
Session CKM - FAQ
Qu'est-ce que le CKM et pourquoi intégrer les soins ?
CKM (Cardio-Kidney-Metabolic) reflects shared risks (obesity, hypertension, diabetes, inflammation). Integrated pathways manage multimorbidity better than single-disease silos.
Comment HEARTS in the Americas améliore-t-il les résultats ?
By standardizing primary-care clinical pathways (BP, lipids, diabetes, CKD, vaccines), enabling team-based task-sharing, and simplifying protocols for scale-up and equity.
L'IA est-elle la réponse aux soins prodigués par CKM ?
AI is a useful co-pilot for risk stratification and therapy choice, but success requires human intelligence, local workflows, training, and community trust.
Comment le climat et l'environnement influencent-ils le CKM ?
Heat, pollution, flooding, and toxins increase AKI/CKD and CV risk. Build climate-resilient care (cooling, water, supply chains), vaccination, and clean-air advocacy into CKM plans.