The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease.

The New 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease. Circulation. 2019 Mar 17;: Authors: Bittner VA Abstract Much of the cardiovascular disease burden and mortality can be traced back to four adverse health behaviors (smoking, poor diet, elevated body mass index, sedentary lifestyle) and three major risk factors (hypercholesterolemia, hypertension, diabetes). Ideal cardiovascular health defined as having all seven factors at goal is very rare among US adults. It is estimated that 87% of middle-aged US adults and 95% of individuals ≥60 years old meet ≤4 of these health metrics.1 Detailed guidelines are available that discuss cardiovascular risk assessment, lifestyle management, and treatment of individual risk factors. Each one of these guidelines provides a superb summary of evidence-based care, but for busy practitioners, the number of guidelines and updates can be overwhelming. The new Primary Prevention Guideline2 fills a critical gap by pulling together and updating, as appropriate, guidance on 9 topic areas: risk assessment, diet, exercise/physical activity, obesity, Type 2 diabetes mellitus, blood cholesterol, hypertension, smoking cessation and aspirin use. Paramount is a patient-centered treatment paradigm that emphasizes team-based care, shared decision-making, and evaluation of social determinants of health. This perspective will highlight several key aspects of the new guideline. Given ex...
Source: Circulation - Category: Cardiology Authors: Tags: Circulation Source Type: research