diff --git a/Include/internal/pycore_atomic.h b/Include/internal/pycore_atomic.h
index f430a5c26ff..5669f71b941 100644
--- a/Include/internal/pycore_atomic.h
+++ b/Include/internal/pycore_atomic.h
@@ -19,7 +19,9 @@ extern "C" {
 
 #if defined(_MSC_VER)
 #include <intrin.h>
-#include <immintrin.h>
+#if defined(_M_IX86) || defined(_M_X64)
+#  include <immintrin.h>
+#endif
 #endif
 
 /* This is modeled after the atomics interface from C1x, according to
diff --git a/Include/pyport.h b/Include/pyport.h
index 7f88c4f629a..4971a493cce 100644
--- a/Include/pyport.h
+++ b/Include/pyport.h
@@ -406,7 +406,7 @@ extern "C" {
 #endif
 
 /* get and set x87 control word for VisualStudio/x86 */
-#if defined(_MSC_VER) && !defined(_WIN64) /* x87 not supported in 64-bit */
+#if defined(_MSC_VER) && defined(_M_IX86) /* x87 only supported in x86 */
 #define HAVE_PY_SET_53BIT_PRECISION 1
 #define _Py_SET_53BIT_PRECISION_HEADER \
     unsigned int old_387controlword, new_387controlword, out_387controlword
diff --git a/Misc/NEWS.d/next/Windows/2019-01-21-05-18-14.bpo-35758.8LsY3l.rst b/Misc/NEWS.d/next/Windows/2019-01-21-05-18-14.bpo-35758.8LsY3l.rst
new file mode 100644
index 00000000000..c1e19d465b3
--- /dev/null
+++ b/Misc/NEWS.d/next/Windows/2019-01-21-05-18-14.bpo-35758.8LsY3l.rst
@@ -0,0 +1 @@
+Allow building on ARM with MSVC.