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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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The secondary prevention of cardiovascular disease

The secondary prevention of cardiovascular disease

Chapter:
(p.769) Chapter 44 The secondary prevention of cardiovascular disease
Source:
Coronary Heart Disease Epidemiology
Author(s):

S. S. Anand

E. Lonn

S. Yusuf

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198525738.003.0045

Observational studies and clinical trials have shown that lower levels of risk factors in patients with established cardiovascular disease (CVD) can substantially reduce their risk of suffering recurrent vascular events. Efforts directed towards reducing further CV events in patients with established CVD are known as secondary prevention. This chapter reviews the epidemiological evidence for risk factor control, lifestyle changes, and medical strategies in the secondary prevention setting. Mainstays of secondary prevention include attention to blood pressure lowering, glucose control, tobacco cessation, and optimizing an individual's cholesterol using proven medical therapies, together with sound dietary and physical activity programs, and regular use of antiplatelet agents.

Keywords:   coronary heart disease, CHD, risk factors, secondary prevention, lifestyle changes

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