- Editorial: Patient-centered treatment paradigm of these guidelines is “paramount,” with its emphasis on shared decision-making, team-based care, and social determinants of health.
- Guidelines published by the American College of Cardiology (ACC), American Heart Association (AHA), and
presented at their annual meeting.
Why this matters
- The new cardiovascular disease (CVD) primary prevention guidelines fill gaps in 9 topic areas, with a focus on how social determinants of health affect implementation.
- 10-year risk calculation for atherosclerotic CVD remains “the foundation of primary prevention.”
- Clinicians can also screen for social determinants of health; a tool is available from Centers for Medicare & Medicaid Services.
- Bleeding, CVD risk should be considered when deciding on prophylactic aspirin use.
- With more than a third of men still using tobacco, guidelines recommend assessing for use, offering “firm advice” to quit, and maximizing success with combined medical/behavioral intervention.
- Cholesterol: adapted from the
2018 Clinical Practice Guidelines.
- Hypertension: adapted from the
2017 Clinical Practice Guidelines.
- Diet recommendations offer the usual emphasis on vegetables and whole grains but also note that health disparities can make implementation complicated.
- Exercise guidelines note existing recommendation for physical activity and need to encourage sedentary patients toward even short bursts of activity.
- Guidelines emphasize diet and weight loss in diabetes prevention and team-based care for treatment.