New AHA / ACC CVD Primary Prevention Guideline

NEW ORLEANS – The American College of Cardiology (AHA) t

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The 2019 ACC / AHA Guideline on the Primary Prevention of Cardiovascular Disease is published online March 17 in the Journal of the American College of Cardiology and Circulation Annual Scientific Session 2019 (ACC.19).

The Association is a member of the Association, the American Society of Preventive Cardiology, and the Preventive Cardiovascular Nurses Association.

Co-chairs of the writing committee tJohn K. Arnett, PhD, dean of professors at the University of Kentucky Johns Hopkins tCiccarcular Disease, Baltimore, Maryland.

During a press conference here. T

80% of all cardiovascular disease can be prevented, "John J. Warner, MD t vice president for Health System Affairs, UT Southwestern Medical Center, Dallas. "These 2019 prevention guidelines look at their vulnerabilities."

"Warner noted." T "Warner noted. T 10% to 20% of our health and social services t a higher risk of heart disease.

Richard Kovacs, MD, University of Medicine, Indiana University of Medicine, Indianapolis, vice-president Peer reviews.

" T. T" Guidelines and guidelines " 2013 overweight and obesity guidelines for the 2017 cholesterol guideline.

Amit Khera, MD, professor of witch at the University of Texas, Southwestern Medical School in Dallas, t .

"There is no." "The first is a real need for a team". T " t" to reduce the risk of illness ". t

For busy clinicians, Khera said, "This is a one-stop shop". T will help in the effectiveness of implementation. "

Among some of the main recommendations

  • Risk estimation: "Khera noted." Under 10-year ASCVD risk estimation. For those age 20 to 39 years, "every 4 to 6 years," There is no need to have an antibiotic therapy, or a statin, or aspirin. In addition, there is no need for information.

  • Diet: Adults, diet, nuts, legumes; The document advocates replacing saturated fat with poly- and monounsaturated fats, and, for the first time, Arnett noted.

Diet is an area, for example, where the determinants of health come into play, Arnett noted. "We need to be able to help you to make a difference."

  • Physical activity: Adults should be routinely available at least 150 minutes per week of physical activity. "Notice we're not saying exercise, we're saying physically active," Arnett said. ,, For for for for for for for,,,,,,,,,,,,,,,,,,,,. "So that 's our patients." Engaged in some moderate or vigorous activity, it added.

  • Obesity: For adults with overweight and obesity, counseling and caloric t Calculating body mass index. T Arnett noted. "These are particularly vulnerable."

  • Diabetes: " T" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "" "." . For adults with type 2 diabetes mellitus. T A sodium-glucose cotransporter 2 inhibitor or glucagon-like peptide-1 receptor agonist. "Have really revolutionized diabeto-cardiology, if you have been relieved.

  • Tobacco: . Tpresented. T In adults who use tobacco, the recommendation is for the use of pharmacologic treatments. "Know the testimony" – "the last alphabetical solution". T

  • Aspirin: They may not be able to apply. Results of the ARRIVE, ASCEND, and ASPREE studies have shifted the balance t the modern preventive therapies. "

Low-dose aspirin now has a IIb recommendation, he said, "meaning general or, occasionally yes." Aspirin may be considered as a result. There is a risk of bleeding. "Khera noted." T

  • Statins: Cholesterol recommendations in this document reflect those for primary prevention in the 2018 cholesterol guideline, Khera noted. Statin therapy is a first-line treatment for primary care and treatment of people with mental health problems (≥190 mg / dL). at ASCVD risk, after a clinician – patient risk discussion. Coronary calcium t

  • Blood pressure: Elevated blood pressure or hypertension. T "The cornerstone for blood pressure management. T Should be less than 130/80 mm Hg.

"For more than 150 years," he said, "he said:" For more than 150 years ago Warner said. The new guideline "is a comprehensive document that we think will be in the world."

In the editorial receiving the Circulation The President of the University of Alabama at Birmingham, Vera Bittner, MD, professor of witch at the University of Alabama at Birmingham, t models of care to implement these guidelines.

J Am Lost Cardiol. Published online March 17, 2019. Guideline, Executive Summary

Circulation. Published online March 17, 2019. Guideline, Executive Summary, Editorial

American College of Cardiology 68th Annual Scientific Session 2019 (ACC.19). Presented March 17, 2019.

Follow Susan Jeffrey on Twitter: @sgjeffrey. For more from | Medscape Cardiology, follow us on Twitter and Facebook.

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