1/
#KashlakChief present #5goodminutes on cardiac prevention:
New AHA/ACC CVD Primary Prevention Guideline medscape.com/viewarticle/91… via @Medscape
Much good advice in this guideline for @thecurbsiders
2/
They do emphasize risk prediction and still use their old model. I prefer changing to the model discussed in our podcast - Improving Estimation of Cardiovascular Risk @AnnalsofIM @ACPinternists bit.ly/2ugxkbq
They guideline does suggest shared decision making here.
3/
When the decision is a difficult one they endorse coronary artery calcium scoring for risk stratification - interesting and a topic for a future podcast.
4/
They do not endorse ASA in everyone - noting the risk benefit ratios in many recent articles.
They do say that lifestyle choices can dramatically decrease coronary artery disease.
5/
Smart eating, not smoking, and regular exercise all are very beneficial. Lifestyle choices are not part of the risk predictor, so shared decision making should include these factors.
Our @UABSOM colleague Dr. Vera Bittner has an excellent editorial that is linked on Medscape.
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