Cardiovascular disease strategies. A 2015 Cochrane Review found some evidence that interventions aiming to reduce more than one cardiovascular risk factor may have beneficial effects on blood pressure, body mass index and waist circumference; however, evidence was limited and the authors were unable to draw firm conclusions on the effects on cardiovascular events and mortality. For adults without a known diagnosis of hypertension, diabetes, hyperlipidemia, or cardiovascular disease, routine counseling to advise them to improve their diet and increase their physical activity has not been found to significantly alter behavior, and thus is not recommended. Another Cochrane review suggested that simply providing
BaleDoneen Method if patients have plaque in their arteries since heart attacks and strokes can only occur in people with this disease. A 2015 study of more than 5,000 adults, published in Journal of the American College of Cardiology found that most initial cardiac events do not occur in patients considered at “high risk” based on risk factor scores. The study also stated that the accuracy of cardiovascular risk prediction was “significantly improved” if vascular imaging, such as ultrasound imaging or Coronary Artery Calcium score (CAC), was used. During the initial evaluation, and to monitor response to treatment with the BaleDoneen Method,