Primary Prevention of Cardiovascular Disease

Published: March 2019
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  • Key Points
  • Overarching Recommendations for ASCVD Prevention Efforts
    • Patient-Centered Approaches to Comprehensive ASCVD Prevention
    • Assessment of Cardiovascular Risk
  • Lifestyle Factors Affecting Cardiovascular Risk
    • Nutrition and Diet
    • Exercise and Physical Activity
  • Other Factors Affecting Cardiovascular Risk
    • Adults With Overweight and Obesity
    • Adults With Type 2 Diabetes Mellitus
    • Adults With High Blood Cholesterol
    • Adults With High Blood Pressure or Hypertension
    • Treatment of Tobacco Use
    • Aspirin Use
  • Tables
    • Example Considerations for Addressing Social Determinants of Health to Help Prevent ASCVD Events
    • Risk-Enhancing Factors for Clinician–Patient Risk Discussion
    • Definitions and Examples of Different Intensities of Physical Activity
    • Diabetes-Specific Risk Enhancers That Are Independent of Other Risk Factors in Diabetes Mellitus
    • Selected Examples of Candidates for Coronary Artery Calcium Measurement Who Might Benefit From Knowing Their Coronary Artery Calcium Score Is Zero
    • Risk-Enhancing Factors for Clinician–Patient Risk Discussion
    • Best Proven Nonpharmacological Interventions for Prevention and Treatment of Hypertension
    • Highlights of Recommended Behavioral and Pharmacotherapy Tobacco Treatment Modalities for Prescribers
  • Figures
    • Hours Per Day Spent in Various States of Activity
  • Algorithms
    • Treatment of T2DM for Primary Prevention of Cardiovascular Disease
    • Primary Prevention
    • BP Thresholds and Recommendations for Treatment and Follow-Up
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The American College of Cardiology (ACC) continues to transform quality cardiovascular care and improve heart health after more than 60 years of existence through its mission, vision and values. The College is proud of its efforts to bring evidence-based clinical care into everyday practice.

Our mission is to build healthier lives, free of cardiovascular diseases and stroke. That single purpose drives all we do. AHA's Professional Membership is a made up of a robust group of cardiovascular professionals who participate in discovery and dissemination of science.

Description

This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.

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