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ESC guidelines on chronic coronary syndromes focus on lifestyle

Prof. Juhani Knuuti
ESC 2019
The new 2019 ESC Guidelines Chronic Coronary Syndromes strongly focus on lifestyle and its influence on the risk of developing coronary disease. Interestingly, this applies not only to the individual patient but also to governments and politicians as they need to take measures to prevent air pollution and noise reduction. General lifestyle is addressed extensively in the new guidelines, consisting of advice to stop smoking as well as avoid passive smoking, consuming a healthy diet (high in vegetables, fruit, and whole grains), alongside maintaining or working towards a healthy body weight. Moderate physical activity of 30 to 60 minutes on most days is also encouraged as is an annual flu vaccination for elderly patients. Simple as this advice may sound, every healthcare professional knows that changing or adopting a different lifestyle can be incredibly difficult for patients. As patients with coronary artery disease run a 2-fold higher risk of mood and anx...

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