2024 Guidelines of the Taiwan Society of Cardiology on the Primary Prevention of Atherosclerotic Cardiovascular Disease --- Part I

10.6515/ACS.202409_40(5).20240724A

Ting-Hsing Chao；Tsung-Hsien Lin；Cheng-I Cheng；Yen-Wen Wu；Kwo-Chang Ueng；Yih-Jer Wu；Wei-Wen Lin；Hsing-Ban Leu；Hao-Min Cheng；Chin-Chou Huang；Chih-Cheng Wu；Chao-Feng Lin；Wei-Ting Chang；Wen-Han Pan；Pey-Rong Chen；Ke-Hsin Ting；Chun-Hung Su；Chih-Sheng Chu；Kuo-Liong Chien；Hsueh-Wei Yen；Yu-Chen Wang；Ta-Chen Su；Pang-Yen Liu；Hsien-Yuan Chang；Po-Wei Chen；Jyh-Ming Jimmy Juang；Ya-Wen Lu；Po-Lin Lin；Chao-Ping Wang；Yu-Shien Ko；Chern-En Chiang；Charles Jia-Yin Hou；Tzung-Dau Wang；Yen-Hung Lin；Po-Hsun Huang；Wen-Jone Chen

Atherosclerotic cardiovascular disease ； Guidelines ； Primary prevention

Acta Cardiologica Sinica

40卷5期（2024 / 09 / 01）

479 - 543

英文

Atherosclerotic cardiovascular disease (ASCVD) is one of the leading causes of death worldwide and in Taiwan. It is highly prevalent and has a tremendous impact on global health. Therefore, the Taiwan Society of Cardiology developed these best-evidence preventive guidelines for decision-making in clinical practice involving aspects of primordial prevention including national policies, promotion of health education, primary prevention of clinical risk factors, and management and control of clinical risk factors. These guidelines cover the full spectrum of ASCVD, including chronic coronary syndrome, acute coronary syndrome, cerebrovascular disease, peripheral artery disease, and aortic aneurysm. In order to enhance medical education and health promotion not only for physicians but also for the general public, we propose a slogan (2H2L) for the primary prevention of ASCVD on the basis of the essential role of healthy dietary pattern and lifestyles: "Healthy Diet and Healthy Lifestyles to Help Your Life and Save Your Lives". We also propose an acronym of the modifiable risk factors/enhancers and relevant strategies to facilitate memory: "ABC_2D_2EFG-I'M_2 ACE": Adiposity, Blood pressure, Cholesterol and Cigarette smoking, Diabetes mellitus and Dietary pattern, Exercise, Frailty, Gout/hyperuricemia, Inflammation/infection, Metabolic syndrome and Metabolic dysfunction-associated fatty liver disease, Atmosphere (environment), Chronic kidney disease, and Easy life (sleep well and no stress). Some imaging studies can be risk enhancers. Some risk factors/clinical conditions are deemed to be preventable, and healthy dietary pattern, physical activity, and body weight control remain the cornerstone of the preventive strategy.