Journal of Preventive Cardiology
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Year: 2014 I  Volume: 3 I  Issue: 4I  Pages: 549 - 554
 
Coronary heart disease secondary prevention
Rajeev Gupta, MD, PhD*,†; Shiva Ahuja MDS†
* Department of Medicine, Fortis Escorts Hospital, Jaipur, India
†Jaipur Heart Watch Foundation, Jaipur, India.
Abstract

Coronary heart disease (CHD) is an important public health problem in India and the most important cause of death. Morbidity and mortality in patients with established CHD can be prevented by lifelong adoption of healthy lifestyles and appropriate drug therapy. However, adherence to both these is very low and studies have reported less than 10–20% adherence at 5–6 years after diagnosis. International guidelines advise that cessation of smoking and tobacco use and promotion of physical activity and healthy diet are important. Rational drug therapy in patients with established CHD include aspirin, statins, beta blockers and angiotensin converting enzyme inhibitors as indicated. All physicians at primary, secondary as well as tertiary care must advise these strategies and ensure adherence.

 
Keywords
Cardiovascular disease
Secondary prevention
Aspirin
Beta blockers
Statins
ACE inhibitors
 
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Journal of Preventive Cardiology
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Print ISSN: 2249-4308
Online ISSN: 2277-6559
 
Frequency: Quarterly
 
 
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