Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update

• Published in: Canadian Medical Association journal (CMAJ) 2018-10, Vol.190 (40), p.E1192-E1206
• Main Authors: Tobe, Sheldon W., MD MScCH, Stone, James A., MD PhD, Anderson, Todd, MD, Bacon, Simon, PhD, Cheng, Alice Y.Y., MD, Daskalopoulou, Stella S., MD PhD, Ezekowitz, Justin A., MBBCh MSc, Gregoire, Jean C., MD, Gubitz, Gord, MD, Jain, Rahul, MD MScCH, Keshavjee, Karim, MSc MD, Lindsay, Patty, RN PhD, L’Abbe, Mary, PhD, Lau, David C.W., MD PhD, Leiter, Lawrence A., MD, O’Meara, Eileen, MD, Pearson, Glen J., PharmD, Rabi, Doreen M., MD MSc, Sherifali, Diana, RN PhD, Selby, Peter, MBBS MHSc, Tu, Jack V., MD PhD, Wharton, Sean, MD PharmD, Walker, Kimberly M., MPH, Hua-Stewart, Diane, MPH, Liu, Peter P., MD
• Format: Article
• Language: English
• Subjects: Alcohol Drinking - prevention & control; Ambulatory care; Blood glucose; Canadians; Cardiovascular disease; Cardiovascular Diseases - prevention & control; Chronic illnesses; Cigarette Smoking - prevention & control; Diabetes; Diabetes Complications - prevention & control; Diabetes therapy; Diet, Sodium-Restricted; Dyslipidemias - prevention & control; Evidence-based medicine; Guideline; Guidelines; Healthy Lifestyle; Heart failure; Humans; Hypertension; Hypertension - prevention & control; Internal Medicine; Obesity; Obesity - prevention & control; Patients; Pharmaceutical industry; Prevention; Primary care; Primary Health Care; Quality; Risk Assessment; Systematic review; Task forces; Telemedicine; Type 2 diabetes
• ISSN: 0820-3946; 1488-2329
• DOI: 10.1503/cmaj.180194

Tobe et al cite that the Canadian Cardiovascular Harmonized National Guideline Endeavor (C-CHANGE) is a nationally endorsed guideline process, targeting primary care health care practitioners. C-CHANGE promotes patient care by bringing nine guideline groups together, to provide a composite set of recommendations to help clinicians formulate a comprehensive treatment plan directed toward patient priorities. The 2018 update to the C-CHANGE guideline includes a total of 77 recommendations and 52 recommendations that are newly added or updated. A new category for hypertension for high-risk individuals has been developed with a new lower threshold for treatment (130 mm Hg systolic) and target blood pressure (< 120 mm Hg systolic). Multifaceted care for patients with cardiovascular risks includes the cornerstones of health behavior change, such as healthy eating and regular physical activity.