According to the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, which of the following approaches is the most important way to prevent atherosclerotic vascular disease, heart failure, and atrial fibrillation?
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The guideline also states "A team-based care approach is an effective strategy for the prevention of cardiovascular disease. Clinicians should evaluate the social determinants of health that affect individuals to inform treatment decisions."
And "Adults who are 40 to 75 years of age and are being evaluated for cardiovascular disease prevention should undergo 10-year atherosclerotic cardiovascular disease (ASCVD) risk estimation and have a clinician–patient risk discussion before starting on pharmacological therapy, such as antihypertensive therapy, a statin, or aspirin. The presence or absence of additional risk-enhancing factors can help guide decisions about preventive interventions in select individuals, as can coronary artery calcium scanning."
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