By Joe Elia
Guidelines encompassing four major areas aimed at reducing the risk for cardiovascular disease have been released.
The guidelines, appearing in Circulation, are likely to change clinical practice. They are the result of collaborations among the American Heart Association, the American College of Cardiology, and other organizations.
Guidelines on Reducing Cardiovascular Risk
Some major recommendations from the four areas follow:
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Obesity: There’s no ideal diet for weight loss. Intensive, supervised lifestyle changes for at least 6 months receive strong endorsement.
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Lipids: There’s no longer any support for treating to specific lipid targets.
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Risk Assessment: The guidelines offer a new calculator for measuring 10-year risk (we provide a link below).
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Lifestyle: The guidelines emphasize heart-healthy diets and advocate restrictions to the intake of saturated fats, trans fats, and sodium.
The NEJM Journal Watch editors are reviewing the individual recommendations, and Clinical Conversations interviewed cardiologist Harlan Krumholz to get his perspective.
Link(s):
Obesity management guideline (Free PDF)
Lipid management guideline (Free PDF)
NEJM Journal Watch coverage of lipid guideline (Free)
Risk assessment guideline (Free PDF)
Risk calculator (Free)
NEJM Journal Watch coverage of risk assessment guideline (Free)
Lifestyle guideline (Free PDF)
NEJM Journal Watch coverage of lifestyle guideline (Free)
Clinical Conversations interview with Harlan Krumholz (11 minutes) (Free)