For people who are not “healthy” (e.g., those who are being treated for CHD , hypertension, or diabetes), these diets and lifestyle change are an integral part of management. Event among people who have had complications of CVD , such as heart attack or stroke, these diet and lifestyle change are recommended to prevent subsequent cardiac events. With attention to cultural consideration, as appropriate(Box 20.3) , these diet and lifestyle recommendation come close to being “one size fits all .” Tips for making heart healthy food choices appear in Box 20.4.