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Framingham gone: New guidelines redefine CVD prevention

KEY POINT

The American College of Cardiology and the American Heart Association (ACC/AHA) have jointly issued new guidelines for primary prevention of atherosclerotic cardiovascular disease (ASCVD). The cardiovascular risk assessment guideline included a new sex- and race-specific method for calculating 10-year risk that replaces Framingham risk assessment. An ACC/AHA lifestyle guideline and obesity guideline from the AHA, ACC, and The Obesity Society (TOS) added specific diet, exercise, and weight loss recommendations. These guidelines—which replace parts of the Adult Treatment Panel III, better known as ATP III, and the Obesity-1 guidelines—should be used in conjunction with updated ACC/AHA recommendations for cholesterol management to develop a comprehensive strategy for primary prevention of ASCVD.

SOURCES

Lloyd-Jones DM et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Released online in manuscript form by the Journal of the American College of Cardiology and Circulation; republished at JAPhA.org.

Eckel RH et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Released online in manuscript form by the Journal of the American College of Cardiology and Circulation; republished at JAPhA.org.

Ryan D et al. 2013 ACC/AHA guideline for the management of overweight and obesity in adults: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Released online in manuscript form by the Journal of the American College of Cardiology and Circulation; republished at JAPhA.org.