The guidelines are focused on primary prevention in adults to reduce the risk of atherosclerotic cardiovascular disease (ASCVD), i.e. acute coronary syndromes, myocardial infarction, stable or unstable angina, arterial revascularisation, stroke/transient ischaemic attack, peripheral arterial disease, as well as heart failure and atrial fibrillation. The basis for these new guidelines consists of the most important studies and guidelines for ASCVD outcomes on 9 topics described below per chapter. Table 1 shows the 10 ‘take-home messages’ that summarise the new guidelines [1].
Table 1: The guideline's take-home messages for the primary prevention of cardiovascular disease
1. [2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2019;March 17[Epub ahead of print].](https://www.onlinejacc.org/content/early/2019/03/07/j.jacc.2019.03.010?_ga=2.221910289.869354102.1557393923-1449217677.1532691487)
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Table of Contents: ACC 2019
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Acute and Stable Ischaemic Heart Disease
Arrhythmias and Clinical Electrophysiology
Substantial impact of temporary interruptions of warfarin versus DOAC
Smartwatch can detect atrial fibrillation with high degree of accuracy
Congenital Heart Disease
Heart Failure and Cardiomyopathies
Frequent use of beta-blocker after HFpEF hospitalisations in elderly patients without compelling indications
High 5-year survival rates for older HF patients without initial severe comorbidity
Pulmonary Arterial Hypertension and Venous Thromboembolism
Interventional Cardiology
Vascular Medicine
Lower rates stroke/SE with DOACs in frail non-valvular AF patients
Similar rates of stroke/SE associated with DOAC vs warfarin use in obese non-valvular AF patients: Results from an observational registry
Convincing evidence of the role of icosapent in reducing subsequent CV events
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