Joint British recommendations on prevention of coronary heart disease in clinical practice: summary

doi:10.1136/bmj.320.7236.705

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British Cardiac Society (d.wood@ic.ac.uk),
British Hyperlipidaemia Association,
British Hypertension Society,
British Diabetic Association

Correspondence to: British Cardiac Society, London W1P 5AH David Wood chairman, working party

Patients with CHD or other major atherosclerotic disease

For all patients with coronary heart disease (angina, myocardial infarction)or other major atherosclerotic disease, every effort should be made to achieve the lifestyle, risk factor, and therapeutic targets given in the table. The care of coronary patients should embrace all aspects of cardiac prevention and rehabilitation.

Priorities for CHD prevention in clinical practice

(a) Patients with established coronary heart disease

(b) Patients with other major atherosclerotic disease
Patients with hypertension, dyslipidaemia, diabetes mellitus, family history of premature CHD, or a combination of these risk factors, which puts them at high risk of developing CHD or other atherosclerotic disease. Patients with diabetes melitus are at particularly high risk of CHD

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Lifestyle, risk factor, and therapeutic targets for prevention of coronary heart disease (CHD) in patients with established CHD or other atherosclerotic disease and in healthy people at high risk of developing this disease

Using the coronary risk prediction chart for primary prevention

These charts are for estimating the risk of coronary heart disease (non-fatal myocardial infarction and death from coronary heart disease) for individuals who have not developed symptoms of coronary heart disease or other major atherosclerotic disease. These charts are not appropriate for patients who have existing disease which already puts them at high risk. Such diseases are: