Guidelines of secondary prevention coronary artery disease prevention

Abstract

The implementation guidelines for prevention of the coronary heart disease are measures which are available to the individuals as well as to the entire population. These measures aim to detect the diseases and to conduct faster and more successful medical intervention. More so, these measures are directed against the progression or relapse of disease in patients with an established disease. The secondary prevention of coronary diseases would include the measures which objective is the prevention of relapse and the progression of atherosclerosis in patients who already have an established coronary disease. The modification of the risk factors is the key part of the secondary prevention of coronary disease. The main risk factors remain the important predictors of the long-term prognosis in patients with a coronary disease. The study on conduction of measures for secondary prevention of coronary disease showed high prevalence of bad lifestyle characteristics, other risk factors and insufficient use of prophylactic drugs in coronary disease patients. Inadequate treatment of risk factors in coronary patients is similar in Europe as well as in the other parts of the world.

Risk factors for coronary heart disease and family medicine: What can be done?

“…29,31,32 The The increase in obese patients and patients with elevated cholesterol levels is worrying. 33,34 Data from this study shown that the leading risk factor were hypertension (88.8 %), followed by hypercholesterolaemia with 73.9 %, obesity 71 % and positive family history in 63.8 % of patients, while 29.2 % of patients were diagnosed with diabetes mellitus and the proportion of smokers was 24.1 % of the total number of patients. Compared to the research conducted in Croatia in the period 2007-2010 in hospitalised CHD patients, risk factors have a similar prevalence, except for smoking which in this sample showed a lower prevalence (24.1 % vs 42.2 %).…”

Retrospective analysis of the role and performance of family medicine versus emergency medical services in the pre-hospital management of patients with AMI in Banja Luka

“…In the Republika Srpska (RS), according to data provided by the Republic's Statistics Agency, during the past two decades, from 1998 to 2010, mortality ranged between 47.5% and 54.5%. According to the Public Health Institute of the RS, in 1999 outpatient morbidity was 8.4%, 13% in hospitals, while the morbidity rate among the population aged 18-65 years amounted to 15.6% (7).…”