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The goal of the Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE) process is to give all Canadian health care providers easy access to a comprehensive and practical set of harmonized guideline recommendations.

This updated C-CHANGE guideline is a subset of recommendations chosen from guidelines from 11 of Canada’s cardiovascular-focused guideline groups and is expanded to include Health Canada’s dietary guideline, the Canadian Consensus Conference on Diagnosis and Treatment of Dementia, and the Canadian Cardiovascular Society/Canadian Heart Rhythm Society guideline for the management of atrial fibrillation. Multifaceted care for patients with cardiovascular risk includes the cornerstones of health behaviour change: healthy eating, regular physical activity and exercise, healthy body weight, stress management, reduced alcohol intake and smoking cessation.

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