EDITORIALS
How effective is prevention in coronary heart disease?
1 Public Health Medicine and Primary Care, Queen’s University Belfast, Northern Ireland
2 Public Health and Primary Care, Trinity College, Dublin, Ireland
3 General Practice, National University of Ireland, Galway, Ireland
Correspondence to:
Dr M E Cupples, Department of General Practice, Queen’s University Belfast, 1 Dunluce Avenue, Belfast BT9 7HR, Northern Ireland; m.cupples@qub.ac.uk
| The first 150 words of the full text of this article appear below. |
To most general practitioners, the jewel in the cardiovascular prevention crown is secondary prevention. Patients are easily identified and of a limited number, their absolute risks are high, the interventions apparently straightforward and the impact significant. But how significant and for how long? The importance of determining long-term outcomes is highlighted by the 10-year follow-up study reported in this issue of the journal by Delaney et al (see page 1419).1 Their work is important: it is the first report of the longer-term value of a primary care based intervention in coronary heart disease (CHD).
Delaney et al remind us of evidence showing improved survival and fewer cardiac events among people with CHD 4 years after their enrolment in the intervention arm of a trial of nurse-led clinics in general practice.1 They now report outcomes after 10 years’ follow-up. Although more deaths had occurred in the control group after
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- Secondary prevention clinics for coronary heart disease: a 10-year follow-up of a randomised controlled trial in primary care
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Heart 2008 94: 1419-1423.[Abstract] [Full Text] [PDF]
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