Internal and Emergency Medicine

, Volume 13, Issue 6, pp 829–831 | Cite as

When in Rome, don’t do as the Romans do

  • Benedetta Tosi
  • Martina Rosselli
  • Gabriele Mascherini
  • Pietro Amedeo ModestiEmail author


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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The author(s) declare that they have no conflict of interest.

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

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Copyright information

© Società Italiana di Medicina Interna 2018

Authors and Affiliations

  1. 1.Dipartimento di Medicina Sperimentale e ClinicaUniversita’ degli Studi di FirenzeFlorenceItaly

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