Arrange for your patient to attend a structured secondary prevention
Lower cholesterol levels a even for patients with average levels (cholesterol 4.0
mmol/l to 6.2 mmol/l)
a encourage patients to eat less fat
a (particularly cholesterol) a and more oats
a, fish a and soy protein.
a, particularly to patients
following post-infarct angina.
gemfibrozil for patients with low HDL levels
There is no clear benefit from referring your patient to a
dietician - self-help material is equally effective.
Consider giving patients vitamin E supplements (alpha-tocopherol)
Encourage patients to stop smoking
a, and ask nurses
a and other staff a to provide further advice.
- nicotine replacement therapy - a combination works best (e.g. patches
a and gum a
- clonidine - but adverse effects are common
Arrange for self-help material and follow-up advice after discharge,
with personalised feedback.
- individual counselling
- telephone-based counselling
There is no clear benefit from
- a exercise programme.
- silver acetate d
Offer an exercise rehabilitation programme.
There is no clear benefit from giving postmenopausal women oestrogen and