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Nurse led secondary prevention clinics improve patient medical and
lifestyle factors, reducing cardiac illness and death over the long
term. Murchie and colleagues (p 84) conducted a follow up study of a
randomised controlled trial in primary care. The short term
improvements produced by secondary prevention clinics promoting
aspirin, blood pressure and lipid management, and a healthy diet were
maintained. Deaths were significantly reduced in the intervention group
after more than four years of follow up. Secondary prevention clinics
should be introduced sooner after a cardiac event, rather than later.

(Credit: P MAVAZZI/SPL)