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Review
. 2007 Jul;93(7):862-4.
doi: 10.1136/hrt.2007.124321.

Secondary prevention for patients following a myocardial infarction: summary of NICE guidance

J S Skinner  1 , A Cooper, G S Feder; Guideline Development Group
Affiliations
Review

Secondary prevention for patients following a myocardial infarction: summary of NICE guidance

J S Skinner et al. Heart. 2007 Jul.

Abstract

Mortality from coronary heart disease has been falling in the UK since the 1970s, but remains higher than in most other Western countries. Most patients receive some treatment for secondary prevention after myocardial infarction, but not all patients are offered the most effective secondary prevention package. The recently published NICE guideline for secondary prevention in patients after myocardial infarction, summarised in this article, makes clear recommendations for management of patients after myocardial infarction, based on best available evidence. The guidelines update the 2001 NICE guideline, and have expanded and emphasised the recommendations for physical activity, dietary and other lifestyle changes, and cardiac rehabilitation, and updated the recommendations for drug therapy.

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Conflict of interest statement

Competing interests: All authors were members of the Guideline Development Group for the NICE guideline for secondary prevention after myocardial infarction. Dr Skinner was the clinical advisor, Dr Cooper the lead systematic reviewer and Professor Feder chaired the guideline development group. During the last 5 years Dr Skinner has received travel grants to attend educational meetings from Novartis, Pfizer and Sanofi Synthelabo/Bristol Myers Squibb Pharmaceuticals, with none during the last 2 years.

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References

    1. Department of Health National Service Framework for coronary heart disease. London: Department of Health, 2000
    1. National Institute for Clinical Excellence Prophylaxis for patients who have experienced a myocardial infarction. London: NICE, 2001
    1. National Institute for Clinical Excellence TA039: Bupropion and nicotine replacement therapy. London: NICE, 2002
    1. National Institute for Health and Clinical Excellence PHI001: Brief interventions and referral for smoking cessation in primary care and other settings. London: NICE, 2006
    1. National Institute for Health and Clinical Excellence Clinical guideline 43: Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. London: NICE, 2006 - PubMed

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