Revista clínica española
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This article brings together the views of a working group to deliberate on Burnout among Physicians in Spain. The document is the result of the answers that different members of the group have prepared to different questions on the subject with conclusions derived from the discussion among all the participants. Burnout is an entity with a high incidence in physicians, with serious work, personal and economic repercussions, whose recognition as a disease is changing in recent years. ⋯ The common factor being an increased qualitative or quantitative demand on the professional. Although it may have a substratum of personal characteristics, it is more commonly associated with extrinsic factors specific to the organisation of work and the management of occupational risks. It involves serious indirect costs for the health system including absenteeism, high financial costs and leads to loss of health and well-being in people who suffer it.
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In the prevention of cardiovascular disease, determining the cardiovascular risk is the cornerstone of preventive interventions. In this risk estimation, detecting subclinical cardiovascular damage represents a complementary tool to classic stratification based on risk factors. ⋯ The clinical practice guidelines for cardiovascular risk prevention recommend the use of ultrasonography for assessing atheromatous plaques and left ventricular hypertrophy as modulators of cardiovascular risk. Ultrasonography also has other relevant applications in cardiovascular risk, including the diagnosis of abdominal aortic aneurysms, kidney assessments for patients with chronic kidney disease or suspected secondary arterial hypertension and the detection of steatosis when nonalcoholic fatty liver disease is suspected.