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JAMA Cardiology Clinical Guidelines Synopsis
July 31, 2019

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Part 1, Lifestyle and Behavioral Factors

Author Affiliations
  • 1University of Kentucky College of Public Health, Lexington
  • 2Division of Cardiology, University of Texas Southwestern Medical Center, Dallas
  • 3Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins University, Baltimore, Maryland
JAMA Cardiol. Published online July 31, 2019. doi:10.1001/jamacardio.2019.2604

Atherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death in the United States. Most individuals who develop ASCVD have at least 1 antecedent major risk factor, and very few have optimal levels of all risk factors and behavioral factors. Lifestyle and behavioral factors are the foundation of ASCVD prevention, and maintaining healthy habits can help preserve good cardiovascular health over the life course. The key to effective prevention is a comprehensive approach, emphasizing a healthy lifestyle and addressing all major risk factors. The 2019 American College of Cardiology (ACC)/American Heart Association (AHA) Guideline on the Primary Prevention of Cardiovascular Disease incorporates existing guidelines, statements, and consensus documents into a single comprehensive resource for patients, health care professionals, and public health officials.1 Recommendations to prevent ASCVD (coronary heart disease, stroke, and peripheral artery disease), atrial fibrillation, and heart failure in adults include lifestyle factors (eg, nutrition, exercise or physical activity, overweight and obesity, and tobacco use) and treatment-associated factors (eg, risk assessment, blood pressure level, blood cholesterol level, diabetes, and aspirin use). This article focuses on lifestyle factors.

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