When in Rome, don’t do as the Romans do
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In 2010, the American Heart Association (AHA) established, and made available to the public, an aggregation of 7 targets for health behaviours and factors, “The Simple 7”, to enhance awareness of and promote heart-healthy behaviours to reach the goal of 20% reduction in cardiovascular mortality (Table 1) [ 1]. All the seven factors are classified in three categories: ideal, intermediate, and poor. To achieve the target of “Ideal Cardiovascular Health,” a single subject has to respect the ideal category for all the seven factors. The definition emphasizes the importance of modifiable risk factors for which patients can take ownership and control, because the basic principles of cardiovascular disease prevention (no smoking, regular physical activity, healthy diet, and keeping hypertension, dyslipidaemia, and diabetes under control) impact the prevalence of cardiovascular risk factors more than any other strategy. At least 50% of the reduction in cardiovascular events...
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