Guidelines for Primary Prevention of Cardiovascular Disease and Stroke

There is no better motto than "Prevention is better than cure". Motto applies to anyone, especially in people who have high risk factors. Prevention priorities is mainly done to :

1. Patients with heart disease, peripheral arterial disease and   cerebrovascular    atherosclerosis. 
2.  Patients without symptoms but considered high risk because of :

• Many risk factors and the amount of risks in the 10 years ≥ 5% (more than 60 years of age) to have a fatal cardiovascular disease.

• The increase of one component of risk factors: cholesterol ≥ 8 mmol / l (320 mg / dl), low density lipoprotein (LDL) cholesterol ≥ 6 mmol / l (240 mg / dl), BP ≥ 180/110 mm Hg.

     3. Close relatives of

• Patients with atherosclerotic cardiovascular disease earlier

• Patients with high risk but without symptoms.

     4.  People who regularly perform a clinical examination.

There are a lot of evidence that Coronary Heart Disease can be prevented and to Coronary Heart Disease research is still continuing. From the results of long-term prospective study showed that people with low risk factors have a smaller risk for coronary heart disease and stroke. 

 ACC / AHA recommends directions for prevention of cardiovascular disease which is determined from the existing risk factors. Business ventures by way of non-pharmacology interventions and pharmacology as well as various clinical trials showed a beneficial thing. 

Guidelines Primary Prevention of Disease and Stroke Cardiovascular based on risk factors

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Risk Factors	Recommendation
Search for Risk Factors The objective is: Adults should know the extent and importance of risk factors checked routinely.	Risk factor screening should begin at age 20 years. Family history of coronary heart disease should be routinely monitored. Smoking, diet, alcohol, physical activity should be evaluated regularly. Blood pressure, body mass index, waist circumference should be checked lapse of 2 years. Cholesterol checks and blood sugar levels must still be monitored as well.
Estimation of risk factors in general The objective is: All adults over the age of 40 should know their risk factors for coronary heart disease which suffered to reduce a big risk factor	Every 5 years or more if there are changes in risk factors, particularly those with ≥ 40 years of age or a person with more than 2 risk factors, should be able to determine the risk factors based on a count of 10-year risk factor. Risk factors are seen smoking, blood pressure, cholesterol checks, blood sugar levels, age, gender and diabetes. Patients with diabetes or a 10-year risk> 20% is considered similar to patients with coronary heart disease