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Mayo Clin Proc. 2009 Aug;84(8):741-57. doi: 10.1016/S0025-6196(11)60525-9.

Primary and secondary prevention of cardiovascular diseases: a practical evidence-based approach.

Author information

  • 1Mid America Heart Institute and University of Missouri-Kansas City, Missouri, USA. jhokeefe@cc-pc.com

Abstract

Despite the fact that we possess highly effective tools for the primary and secondary prevention of myocardial infarction and other complications of atherosclerosis, coronary heart disease remains the most common cause of death in our society. Arterial inflammation and endothelial dysfunction play central roles in the pathogenesis of atherosclerosis and adverse cardiovascular (CV) events. Therapeutic lifestyle changes in conjunction with an aggressive multidrug regimen targeted toward the normalization of the major CV risk factors will neutralize the atherogenic milieu, reduce vascular inflammation, and markedly decrease the risk of adverse CV events and need for revascularization procedures. Specific CV risk factors and optimal therapies for primary and secondary prevention are discussed.

Comment in

PMID:
19648392
[PubMed - indexed for MEDLINE]
PMCID:
PMC2719528
Free PMC Article

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