Table 5.1

Targets for primary care effect

ACE, angiotensin converting enzyme; LDL, low density lipoprotein.
  • Advice and help to stop smoking including nicotine replacement therapy

  • Information and advice about modifiable lifestyle risk factors

  • Advice and treatment to maintain blood pressures below 140/85 mm Hg24,25

  • Low dose aspirin26

  • Statins and dietary advice to lower total serum cholesterol to below 5.0 mmol/l (LDL <3.0 mmol/l) or by 30%, whichever is the greater27,28

  • ACE inhibitors for people who also have left ventricular dysfunction29

  • β Blockers for people who have also had a myocardial infarction30

  • Warfarin when clinically appropriate for people over 60 years with atrial fibrillation31

  • Meticulous control of blood pressure32 and glucose in people who also have diabetes33