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Health Factors Associated with Cardiovascular Wellness

  • Mahmoud Al Rifai
  • Miguel Cainzos-Achirica
  • Michael J. Blaha
  • Kelly Arps
  • David A. Wood
  • Roger S. Blumenthal
  • John W. McEvoyEmail author
Evidence-Based Medicine, Clinical Trials and Their Interpretations (L. Roever, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Evidence-Based Medicine, Clinical Trials and Their Interpretations

Abstract

Purpose of Review

In this review, we discuss a new paradigm for atherosclerotic cardiovascular disease (ASCVD) prevention that is focused on cultivating cardiovascular wellness through the promotion of “health factors.”

Recent Findings

Cardiovascular prevention efforts have contributed to falling rates of ASCVD over the past five decades. However, contemporary increases in obesity and diabetes have led to a recent slowing in the annual decline of ASCVD death rates. This slowing represents an opportunity for new thinking to change the current ASCVD prevention paradigm, i.e., the identification and treatment or control of risk factors for disease. Indeed, a new paradigm focusing on cultivating cardiovascular wellness in addition to preventing disease is gaining increased traction. With this approach, the goal of ASCVD prevention is shifting to include consideration of both treating “risk factors” and cultivating health factors. Importantly, cardiovascular wellness is more than just the absence of disease and, therefore, risk factors and health factors are not always mere opposites.

Summary

We review healthy lifestyle tools such as the American Heart Association Life’s simple 7 and Fuster-BEWAT score. We summarize landmark studies of interventions aimed at improving adherence to health factors. We highlight the inherent limitations of current studies to adequately examine cardiovascular wellness. We propose new study designs that are required to identify novel health factors and measures of wellness. We conclude with recommendations regarding the utility of health factors and cardiovascular wellness in current practice.

Keywords

Wellness Cardiovascular health Health factors Cardiovascular disease prevention 

Notes

Compliance with Ethical Standards

Conflict of Interest

Mahmoud Al Rifai, Miguel Cainzos-Achirica, Michael J. Blaha, Kelly Arps, David A. Wood, Roger S. Blumenthal, and John W. McEvoy declare no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mahmoud Al Rifai
    • 1
    • 2
  • Miguel Cainzos-Achirica
    • 2
    • 3
  • Michael J. Blaha
    • 2
  • Kelly Arps
    • 2
  • David A. Wood
    • 4
    • 5
    • 6
  • Roger S. Blumenthal
    • 2
  • John W. McEvoy
    • 2
    • 5
    • 6
    Email author
  1. 1.Department of Internal MedicineUniversity of Kansas School of MedicineWichitaUSA
  2. 2.Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease, Department of CardiologyJohns Hopkins Medical InstitutionsBaltimoreUSA
  3. 3.Bellvitge University Hospital and Bellvitge Biomedical Research Institute (IDIBELL)L’Hospitalet de LlobregatBarcelonaSpain
  4. 4.Department of Cardiovascular Medicine, National Heart and Lung InstituteImperial College LondonLondonUK
  5. 5.National University of IrelandGalwayIreland
  6. 6.National Institute for Preventive Cardiology; and Saolta University Healthcare GroupUniversity College Hospital GalwayGalwayIreland

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