New method reduces heart attacks and strokes over five years, study shows

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Cardiovascular diseases (CVDs) are a leading cause of death worldwide, making effective prevention strategies crucial.

A study published in the Journal of the American Medical Association (JAMA) has demonstrated that the Million Hearts Model, designed to promote CVD risk assessment and reduction, has successfully reduced first-time heart attacks and strokes over a five-year period.

This model provides important insights into preventing these life-threatening events.

The Million Hearts Model

The Million Hearts Model is a healthcare initiative that encourages healthcare providers to assess and manage the risk of cardiovascular disease in their patients.

It emphasizes proactive risk assessment and interventions to reduce the incidence of heart attacks and strokes. This study evaluates the impact of the Million Hearts Model on first-time heart attacks and strokes.

The study conducted by Laura Blue, Ph.D., and colleagues involved the analysis of data from 342 healthcare practices, including primary care and specialty practices, health centers, and hospital-based outpatient clinics across the United States.

The study participants included 130,578 Medicare fee-for-service beneficiaries aged 40 to 79 years with medium or high CVD risk, as well as 88,286 control beneficiaries.

Promising Findings

The study’s results are promising. It was found that the probability of experiencing a first-time CVD event within five years was significantly lower among beneficiaries who received interventions based on the Million Hearts Model compared to control beneficiaries.

The relative effect was a 3.3% reduction in first-time CVD events. Additionally, the probability of combined first-time CVD events and CVD-related deaths over a five-year period was lower in the intervention group, with a relative effect of 4.2% reduction.

The study also examined the financial implications of the Million Hearts Model. It was discovered that Medicare spending for CVD events remained similar between the intervention and control groups.

Overall Medicare spending, including model payments, saw a slight increase, indicating that the benefits of reduced CVD events outweighed the associated costs. This suggests that the Million Hearts Model is cost-effective in preventing CVD events.

The findings of this study provide robust support for the use of risk assessment tools and interventions in primary prevention efforts against CVD.

Identifying individuals at risk and implementing preventive measures can significantly reduce the occurrence of first-time heart attacks and strokes.

These results reinforce the importance of adopting guidelines and strategies aimed at assessing and mitigating CVD risk.


Cardiovascular diseases pose a significant health threat, but initiatives like the Million Hearts Model demonstrate the potential to make a difference.

By implementing risk assessment and intervention strategies, healthcare providers can effectively reduce the incidence of first-time heart attacks and strokes.

These findings emphasize the importance of early prevention efforts in the fight against CVD and support ongoing initiatives to improve cardiovascular health.

If you care about heart health, please read studies about how eating eggs can help reduce heart disease risk, and herbal supplements could harm your heart rhythm.

For more information about health, please see recent studies about how drinking milk affects risks of heart disease and cancer, and results showing strawberries could help prevent Alzheimer’s disease.

The research findings can be found in JAMA.

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