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Medical News & Perspectives
April 4, 2007

A Change of Heart Guidelines for Women

JAMA. 2007;297(13):1421-1422. doi:10.1001/jama.297.13.1421

In a philosophical shift, new guidelines for the prevention of cardiovascular disease in women stress lifestyle modification over medical intervention.

The new guidelines, published online February 20 by Circulation, emphasize lifetime heart disease risk for women over the current 10-year Framingham risk assessment tool. The guidelines, which update advice published in 2004, stress lifestyle goals and clarify the use of aspirin for risk reduction. The guidelines emphatically reject various vitamin supplements and hormone therapy once considered potentially heart-protective (Mosca L et al. doi:10.1161/CIRCULATIONAHA.107.181546)