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J Am Coll Cardiol. 2018 Nov 6;72(19):2391-2405. doi: 10.1016/j.jacc.2018.08.2160.

Lifestyle Modifications for Preventing and Treating Heart Failure.

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Division of Cardiology, University of Florida, Gainesville, Florida. Electronic address:
Division of Cardiology, Baylor College of Medicine, Houston, Texas.
Division of Cardiology, George Washington University School of Medicine and Health Sciences, Washington, DC; Inova Heart and Vascular Institute, Fairfax, Virginia.
Division of Cardiology, Columbia University Medical Center, New York, New York.
Division of Cardiology, Montefiore Health System, Bronx, New York.
George Washington University School of Medicine, Washington, DC.
Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts.
Division of Cardiology, Department of Medicine, National Jewish Health, Denver, Colorado.
Department of Food and Nutrition, New York-Presbyterian, New York, New York.
Division of Cardiology, Medical University of South Carolina and Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina.


Continued improvement in medical and device therapy for heart failure (HF) has led to better survival with this disease. Longer survival and increasing numbers of unhealthy lifestyle factors and behaviors leading to occurrence of HF at younger ages are both contributors to an increase in the overall prevalence of HF. Clinicians treating this complex disease tend to focus on pharmacological and device therapies, but often fail to capitalize on the significant opportunities to prevent or treat HF through lifestyle modification. Herein, the authors review the evidence behind weight management, exercise, nutrition, dietary composition, supplements, and mindfulness and their potential to influence the epidemiology, pathophysiology, etiology, and management of stage A HF.


coenzyme Q10; congestive heart failure; diet; diuretics; exercise; lifestyle; meditation; nitrates; nutrition; obesity; risk modification; sodium; supplements; weight management; yoga

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