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Suggestions from the guidelines include eating heart healthy, engaging in regular exercise, keeping a healthy weight, avoiding tobacco, and limiting aspirin use.
Officials with the American College of Cardiology (ACC) and the American Heart Association (AHA) issued key recommendations in the 2019 Primary Prevention of Cardiovascular Disease guideline at the ACC's 68
Annual Scientific Session in New Orleans, Louisiana. The authors emphasize adopting a heart healthy diet, engaging in exercise, avoiding tobacco, using aspirin sparingly, and managing known risk factors, among others recommendations.
The guideline is meant to provide strategies that can be used and tailored for those without a history of cardiovascular disease to stay heart healthy. It also emphasizes the need to identify and address personal or social barriers for doing so, such as income and education levels; cost concerns, lack of health insurance, access to healthy foods or safe places to exercise, and life stressors.
“The most important way to prevent cardiovascular disease, whether it’s a build-up of plaque in the arteries, heart attack, stroke, heart failure or issues with how the heart contracts and pumps blood to the rest of the body, is by adopting heart healthy habits and to do so over one’s lifetime,” Roger S. Blumenthal, MD, co-chair of the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, explained in a prepared statement. “More than 80% of all cardiovascular events are preventable through lifestyle changes, yet we often fall short in terms of implementing these strategies and controlling other risk factors.”
According to the guidelines, the first step to prevent cardiovascular disease is to assess one’s risk through communication with a practitioner or care team. The document synthesizes data and proven interventions to improve diet, exercise and other factors, and also discusses the challenges that may interfere with individuals’ ability to incorporate better lifestyle habits.
Some of the key lifestyle recommendations include:
For people with type 2 diabetes, which is one of the strongest risk factors for cardiovascular disease, there are new data that 2 classes of diabetes medications, which work to lower blood sugar levels, can also cut the risk of heart attack, stroke and related deaths.
The 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease will simultaneously publish in the
and the American Heart Association’s journal
Journal of the American College of CardiologyCirculation
ACC/AHA Guidance for Preventing Heart Disease Stroke Released [news release]. New Orleans, Louisiana. Published March 17, 2019.
. Accessed March 18, 2019.