In this podcast, Dr. Sheldon Tobe and Dr. Rahul Jain discuss the 2018 update to the Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE). This guideline is meant for primary care physicians to help manage patients with heart disease or patients at risk for heart disease.Dr. Sheldon Tobe is co-chair of the C-CHANGE process, nephrologist at Sunnybrook Health Sciences Centre and professor of medicine at both the University of Toronto and the Northern Ontario School of Medicine. Dr. Rahul Jain is a family physician and hospitalist at Sunnybrook Health Sciences Centre and assistant professor in the Department of Family and Community Medicine at the University of Toronto.They were part of the group that co-authored the guideline.Full guideline article (open access): www.cmaj.ca/lookup/doi/10.1503/cmaj.180194-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.