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PREVENTION

Primary prevention of cardiovascular disease: 2019 and beyond

Nature Reviews Cardiology volume 16, pages 387–388 (2019)Cite this article

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The global burden of cardiovascular disease morbidity and mortality demands increased awareness of effective prevention strategies by patients, communities and health-care providers. The new 2019 ACC/AHA guidelines provide evidence-based, preventive recommendations for patients without known cardiovascular disease, focusing on risk estimation, a healthy lifestyle and selective indications for pharmacotherapy.

Refers to Arnett, D. K. et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: executive summary: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J. Am. Coll. Cardiol. https://doi.org/10.1161/CIR.0000000000000677 (2019).

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References

  1. Roth, G. A. et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J. Am. Coll. Cardiol. 70, 1–25 (2017).

    Article  Google Scholar 

  2. Shah, B. et al. Temporal trends in clinical characteristics of patients without known cardiovascular disease with a first episode of myocardial infarction. Am. Heart. J. 167, 480–488 (2014).

    Article  Google Scholar 

  3. Myerburg, R. J. Sudden cardiac death: exploring the limits of our knowledge. J. Cardiovasc. Electrophysiol. 12, 369–381 (2001).

    CAS  Article  Google Scholar 

  4. Arnett, D. K. et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: executive summary: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J. Am. Coll. Cardiol. https://doi.org/10.1161/CIR.0000000000000677 (2019).

  5. Benjamin, E. J. et al. Heart disease and stroke statistics—2017 update: a report from the American Heart Association. Circulation 135, e146–e603 (2017).

    Article  Google Scholar 

  6. Orrow, G. et al. Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ 344, e1389 (2012).

    Article  Google Scholar 

  7. Kelli, H. M. et al. Living in food deserts and adverse cardiovascular outcomes in patients with cardiovascular disease. J. Am. Heart. Assoc. 8, e010694 (2019).

    Article  Google Scholar 

  8. McLean, D. L. et al. A randomized trial of the effect of community pharmacist and nurse care on improving blood pressure management in patients with diabetes mellitus: study of cardiovascular risk intervention by pharmacists-hypertension (SCRIP-HTN). Arch. Intern. Med. 168, 2355–2361 (2008).

    Article  Google Scholar 

  9. Cardoso, R. et al. Selective use of coronary artery calcium testing for shared decision making: guideline endorsed and ready for prime time. Ann. Intern. Med. 170, 262–263 (2019).

    Article  Google Scholar 

  10. Nasir, K. et al. Implications of coronary artery calcium testing among statin candidates according to American College of Cardiology/American Heart Association cholesterol management guidelines: MESA (Multi-Ethnic Study of Atherosclerosis). J. Am. Coll. Cardiol. 66, 1657–1668 (2015).

    CAS  Article  Google Scholar 

Download references

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Authors and Affiliations

  1. The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA

    Rhanderson Cardoso

  2. Center for Outcomes Research and Evaluation, Yale-New Haven Health, New Haven, CT, USA

    Khurram Nasir

  3. Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA

    Khurram Nasir

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  1. Rhanderson Cardoso
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  2. Khurram Nasir
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Correspondence to Khurram Nasir.

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The authors declare no competing interests.

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Cardoso, R., Nasir, K. Primary prevention of cardiovascular disease: 2019 and beyond. Nat Rev Cardiol 16, 387–388 (2019). https://doi.org/10.1038/s41569-019-0213-2

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  • DOI: https://doi.org/10.1038/s41569-019-0213-2

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