{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:25:36Z","timestamp":1780471536782,"version":"3.54.1"},"reference-count":0,"publisher":"University of the Philippines Manila","issue":"10","license":[{"start":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:00:00Z","timestamp":1780099200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Philipp"],"abstract":"<jats:p>Background and Objective. Cardiovascular diseases remain to be the leading cause of death in the Philippines.\u00a0Screening may lead to improvement of clinical outcomes if such conditions are detected and managed early and\u00a0appropriately. The benefits of screening for a particular disease must be balanced with potential harms due to\u00a0mislabeling or adverse effects of treatment, as well as socio-economic implications in the primary care setting. The\u00a0main objective of this clinical practice guideline initiated by the Department of Health and the National Institutes of\u00a0Health is to provide evidence-based recommendations\u00a0that will help primary care physicians in detecting\u00a0selected cardiovascular diseases among apparently\u00a0healthy, asymptomatic individuals, while considering the\u00a0socio-economic implications of the diagnostic screening\u00a0tests.\nMethods. We performed a systematic synthesis of evidence to address screening for six priority cardiovascular conditions among asymptomatic, apparently healthy adult Filipinos: 1) familial hypercholesterolemia, 2) coronary artery disease, 3) asymptomatic carotid artery stenosis, 4) peripheral arterial disease, 5) abdominal aortic aneurysm, and 6) atrial fibrillation. We followed the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to CPG development recommended by the Department of Health. The process included 1) generation of critical questions and critical outcomes, 2) retrieval of current and relevant evidence, 3) synthesis and assessment of the evidence base for these critical questions, 4) formulation of draft recommendations, 5) convening of\u00a0a multisectoral\u00a0stakeholder panel to discuss feasibility,\u00a0values, and preferences, and assess the strength of the\u00a0recommendations, and 6) planning for dissemination,\u00a0implementation, impact evaluation, and updating.\nResults. The CPG provides seven recommendations on\u00a0six prioritized questions in the screening for certain cardiovascular\u00a0disorders. After presentation of the evidence\u00a0by the evidence reviewer experts and deliberation by\u00a0the consensus panel, we came up with two statement\u00a0recommendations for the question on screening for\u00a0abdominal aortic aneurysm and one statement recommendation\u00a0each for the rest of the clinical questions.\u00a0The consensus panel made strong recommendations\u00a0to screening for two conditions in asymptomatic and\u00a0apparently healthy Filipinos, namely: familial hypercholesterolemia\u00a0and abdominal aortic aneurysm (moderate).\nConclusion. Among asymptomatic, apparently healthy\u00a0adult Filipinos, we recommend routine screening for\u00a0two cardiovascular conditions: familial hypercholesterolemia\u00a0and abdominal aortic aneurysm, with the latter\u00a0being applicable only to men 60-80 years of age. These\u00a0recommendations are offered to guide the primary care\u00a0physician in screening key cardiovascular diseases and\u00a0should not supplant but rather supplement the healthcare\u00a0provider's sound clinical judgment.<\/jats:p>","DOI":"10.47895\/amp.v60i10.11059","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:59:20Z","timestamp":1780469960000},"source":"Crossref","is-referenced-by-count":0,"title":["Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Cardiovascular Disease"],"prefix":"10.47895","volume":"60","author":[{"given":"Raymond V.","family":"Oliva, MD","sequence":"first","affiliation":[{"name":"Division of Hypertension, Department of Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Donato A.","family":"Magno, MD","sequence":"additional","affiliation":[{"name":"Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah Ignacia","family":"David-Ona, MD","sequence":"additional","affiliation":[{"name":"Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"},{"name":"St. Luke\u2019s Medical Center, Quezon City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Dennis B.","family":"Alcaraz, MD","sequence":"additional","affiliation":[{"name":"Jabez Medical Center, Batangas, Philip"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean D.","family":"Alcover-Banal, MD","sequence":"additional","affiliation":[{"name":"Socsargen County Hospital, General Santos City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmer Jasper B.","family":"Llanes, MD","sequence":"additional","affiliation":[{"name":"Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bevy Lynn","family":"Lea\u00f1o, MD","sequence":"additional","affiliation":[{"name":"Medical Center Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi S.","family":"Pesta\u00f1o, MD","sequence":"additional","affiliation":[{"name":"Manila Doctors Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farrah Haidee Lynne D.","family":"Pedracio, MD","sequence":"additional","affiliation":[{"name":"Clinica Antipolo Hospital and Wellness Center, Inc., Rizal, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime Alfonso M.","family":"Aherrera, MD","sequence":"additional","affiliation":[{"name":"Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine B.","family":"Alajar, MD","sequence":"additional","affiliation":[{"name":"Manila Doctors Hospital, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Vicente, MD","sequence":"additional","affiliation":[{"name":"Our Lady of Caysasay Medical Center, Batangas, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddieson M.","family":"Gonzales, MD","sequence":"additional","affiliation":[{"name":"Batangas Medical Center, Batangas, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi Pierre S.","family":"Segundo, MD","sequence":"additional","affiliation":[{"name":"The Medical City, Pasig City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix Eduardo R.","family":"Punzalan, MD, MSc","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27557","published-online":{"date-parts":[[2026,5,30]]},"container-title":["Acta Medica Philippina"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/11059\/7143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/11059\/7143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:59:20Z","timestamp":1780469960000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/view\/11059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,30]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5,30]]}},"URL":"https:\/\/doi.org\/10.47895\/amp.v60i10.11059","relation":{},"ISSN":["2094-9278","0001-6071"],"issn-type":[{"value":"2094-9278","type":"electronic"},{"value":"0001-6071","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,30]]}}}