It is well established in the literature that an individual?s diet can have a positive and/or negative impact on overall health, specifically cardiovascular disease. According to healthy people 2020 objective NWS 6.1, there has been an increase in the ?amount of physician office visits made by patients ages >65 years old with a diagnosis of cardiovascular disease, diabetes, hyperlipidemia that included counseling or education related to diet and nutrition counseling? from an estimated 8% in 2012 to 15.6% in 2015.4 This increasing trend in patient nutritional education and counseling is promising. Although nutritional research is evolving, determining which dietary pattern approach is appropriate for an individual with known chronic heart disease remains challenging. There are several dietary pattern interventions that are prescribed to patients that may target specific risk factors including obesity, hypertension, diabetes mellitus, hyperlipidemia. Current literature supports the Mediterranean diet, DASH (Dietary approaches to Stopping Hypertension) and plant-based diet. Each diet is comprised of specific health benefits for Cardiovascular Disease (CVD) prevention and risk factor reduction. In terms of clinical setting, it is important to consider how providers may choose one dietary intervention over another in efforts to reduce patient?s CVD risk and disease progression. There are many factors that may influence a provider?s decision when discussing dietary interventions. Such dietary intervention decision may be based on practicing guidelines, provider familiarity and knowledge base of the diet therapy, relationship they share with the dietician and/or resources provided to the provider by the institution. As illustrated in the literature, each dietary pattern incorporates nutritional and whole food components that set it apart from another, which may influence whether a dietary pattern is attainable or non-attainable to an individual. This paper aims to assess the Mediterranean diet, DASH diet and plant-based dietary patterns to help aid providers that may encompass components from each dietary pattern and/or determine which plan is best for an individual with the ultimate goal of CVD prevention and risk factor reduction.