Multifactorial lifestyle interventions aim ed at improving modifiable risk factors in patients with established CHD reduce the risk for fatal cardiovascular events .
Therefore , they may have added value in secondary prevention of CHD
CONTEXT Coronary heart disease ( CHD ) is responsible for about 15 % of all deaths worldwide and is identified as a top priority for decision makers .
Both primary and secondary prevention are considered key strategies in the prevention of CHD .
The aim of this study was to assess the efficacy of nonpharmacologic interventions with multiple lifestyle components in patients with established CHD in comparison to usual care .
[The Belgian project for the prevention of cardiovascular diseases: a model of multifactorial prevention].
Résults are presented from the " belgian heart disease prevention project , part of the WHO european collaborative trial in the multifactorial prevention of coronary heart disease ( CHD ) " . 19.409 men aged 40 - 59 yr took part ; they were employed in thirty factories which formed the allocation units for a r and omised controlled trial lasting 5 - 6 yr . The intervention package consisted largely of health education promoting a cholesterol-lowering diet , smoking cessation , weight control , physical activity , and treatment of arterial hypertension . A programme of information was supplemented by face-to-face counselling at the workplace by two physicians attached to the project . The coronary risk profile was reduced in the intervention group , compared with that in the control group , especially during the first 4 yr , by effects on serum cholesterol , number of cigarettes smoked daily , and arterial blood-pressure . Total mortality was 17.5 % lower in the intervention group than in the control group ( p = 0.038 ) ; coronary mortality was reduced by a non-significant 20.8 % whereas CHD incidence ( non-fatal myocardial infa rct ion plus fatal myocardial infa rct ion plus sudden deaths ) was reduced by 24.5 % , ( P = 0.031 ) . Non-fatal myocardial infa rct ion ( not a major end-point ) was similarly reduced by 26.1 % ( p = 0.030 )
Multifactorial lifestyle interventions aim ed at improving modifiable risk factors in patients with established CHD reduce the risk for fatal cardiovascular events .
Therefore , they may have added value in secondary prevention of CHD
CONTEXT Coronary heart disease ( CHD ) is responsible for about 15 % of all deaths worldwide and is identified as a top priority for decision makers .
Both primary and secondary prevention are considered key strategies in the prevention of CHD .
The aim of this study was to assess the efficacy of nonpharmacologic interventions with multiple lifestyle components in patients with established CHD in comparison to usual care .