Prevention

Encourage patients to eat a Mediterranean-style diet ^a

Why?

• Patients who eat more bread, more root and green vegetables, more fish, less meat (beef, lamb and pork to be replaced with poultry), have no day without fruit and replaced butter and cream with margarine, rapeseed and olive oils are less likely to have another MI than patients who continue their usual diet. ^a

A Mediterranean-style diet reduces further MI and cardiovascular death

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
myocardial infarction a	Mediterranean-style diet	usual diet	cardiovascular death at 3 years	5.3%	81% (36% to 94%)	23 (14 to 65)
			non-fatal MI at 3 years	5.6%	70% (21% to 89%)	25 (14 to 100)