Strategy for Cardiovascular Disease Prevention Through Tailored Health Management in Individuals With Elevated Risk

Inclusion Criteria: * Aged 35 or above; * High CVD risk which defined as 10-year ASCVD risk ≥10% based on China-PAR prediction model; * Ownership of a smart phone and being able to use apps; * Being contracted with the local family doctor (village doctor); * Willing to participate and able to sign informed consent. Exclusion Criteria: * CVD history, including myocardial infarction (MI), stroke, heart failure, severe arrhythmia, or peripheral artery disease, or having received percutaneous coronary intervention (PCI) or coronary artery by-pass grafting operation (CABG); * Severe illnesses, such as cancer, or severe hepatic and renal dysfunction; * Women during pregnancy, lactation, or plan to have children in the next year; * Having problems in cognition or communication, or limited daily activities.