Click through this topline on primordial and primary CVD prevention based on the American Society of Preventive Cardiology's clinical practice statement.
A clinical practice statement from the American Society for Preventive Cardiology (ASPC) responds to widespread increases in cardiovascular (CV) risk factors in the US, including overweight and obesity, type 2 diabetes, and metabolic syndrome. Despite progress in research and clinical practice, CV disease is still a leading cause of death and disability. Part 1 of this Guideline Topline highlights the basics of primordial and primary CVD prevention. When finished, click here for part 2.
The ASPC calls for a renewed emphasis on primordial, primary and secondary prevention. Although the ASPC advocates for a subspecialty of CV medicine to help meet this challenge, it also acknowledges the need for multidisciplinary and public health efforts, and emphasizes collaboration within its definition of preventive cardiology:
"...a proactive, patient-centered approach in which the clinician, or team of clinicians and non-clinicians, assesses cardiovascular risk and implements a comprehensive strategy of risk mitigation to prevent cardiovascular diseases and its clinical sequelae."
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Primordial and primary prevention of CVD focuses on avoiding development of risk factors and managing those that do evolve, respectively.
Secondary prevention of CVD focuses on reducing the risk of a subsequent CV event in individuals with established ASCVD.
Lifestyle modification is the foundation of all CVD prevention, including a healthy dietary pattern and regular physical activity.
Healthy dietary patterns to prevent CVD and to manage risk factors encompass a variety, balance, and combination of foods and beverages.
Dietary guidelines from the US Department of Agriculture and Department of Health and Human Services limit intake of sugar, saturated fat, sodium, and alcohol.
Physical activity to prevent CVD is based on a combination of aerobic and muscle strengthening exercise performed regularly.
Step counting has become a popular health focus with the advent of fitness technology and is a simple point of departure for a new PA regimen.
The American Society for Preventive Cardiology's clinical practice statement includes recommended parameters for attaining and maintaining optimal CV health.