Reducing the Risk of Heart Attack and Stroke


The American Heart Association/American College of Cardiology Prevention Guidelines

A 58-year-old man, JB, schedules a visit with his primary care physician to explore what he could do to prevent a heart attack or stroke. He previously considered himself in good health and is not aware of any medical problems or symptoms. His visit is prompted by his best friend having a heart attack and the recollection that his father suffered a massive heart attack at age 59.

JB continues to smoke ≈10 cigarettes a day. He plays an occasional game of pick-up basketball with friends but has a sedentary job. Over the past 20 years, he acknowledges that he has accumulated ≈25 pounds of excess weight. JB cautions his physician that he does not want to take a lot of pills, but is not clear how best to improve his chances of avoiding his father’s fate.Read More