Asymptomatic individuals – risk stratification in the prevention of coronary heart disease

Author: Wood D.

Source: British Medical Bulletin, Volume 59, Number 1, October 2001 , pp. 3-16(14)

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Abstract:

The report of the World Health Organization Expert Committee on Prevention of Coronary Heart Disease considered that a comprehensive action for coronary heart disease (CHD) prevention has to include three components:

A population strategy – for altering, in the entire population, those life-style and environmental factors, and their social and economic determinants, that are the underlying causes of the mass occurrence of coronary heart disease

A high risk strategy – identification of high risk individuals, and action to reduce their risk factor levels

Prevention of recurrent coronary heart disease events and progression of the disease in patients with clinically established coronary heart disease^¹.

Prevention targeted at patients with established coronary disease and the high risk strategy targeted at healthy individuals at high risk are an integral part of clinical practice. The clinical approaches and the population approaches for coronary heart disease prevention are complimentary, but the population strategy is fundamental to reducing the burden of cardiovascular disease.

Language: English

Document Type: Original article

Affiliations: 1: Department of Cardiology, Charing Cross Hospital, London, UK

Publication date: 2001-10-01

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British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors and medical students in both developed and developing countries.