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Heart attack risk starts at 20

habits remains the cornerstone of primary prevention, including the avoidance of tobacco (including secondhand smoke), healthy dietary patterns, weight control, and regular, appropriate exercise," the panel writes in the July 16 issue of the journal Circulation.

"Risk begins at an earlier age than age 40 or 50 ... and this is an attempt to move the focus back to early adulthood when you become a responsible person for your own health," Stein said. The guidelines also try to point out that "it's not just one thing, it's a combination of things" that culminate to cause heart disease.

Other recommendations to prevent heart attack and stroke include maintaining a healthy overall diet and healthy weight and getting at least 30 minutes of moderate-intensity exercise on most, if not all, days.


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