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Secondary prevention for patients following a myocardial infarction: summary of NICE guidance.心肌梗死后患者的二级预防：英国国家卫生与临床优化研究所（NICE）指南总结
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心肌梗死后患者的二级预防：英国国家卫生与临床优化研究所（NICE）指南总结

Secondary prevention for patients following a myocardial infarction: summary of NICE guidance.

作者信息

Skinner J S, Cooper A, Feder G S

机构信息

Department of Cardiology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

出版信息

Heart. 2007 Jul;93(7):862-4. doi: 10.1136/hrt.2007.124321.

DOI:10.1136/hrt.2007.124321
PMID:17569811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1994451/
Abstract

Mortality from coronary heart disease has been falling in the UK since the 1970s, but remains higher than in most other Western countries. Most patients receive some treatment for secondary prevention after myocardial infarction, but not all patients are offered the most effective secondary prevention package. The recently published NICE guideline for secondary prevention in patients after myocardial infarction, summarised in this article, makes clear recommendations for management of patients after myocardial infarction, based on best available evidence. The guidelines update the 2001 NICE guideline, and have expanded and emphasised the recommendations for physical activity, dietary and other lifestyle changes, and cardiac rehabilitation, and updated the recommendations for drug therapy.

摘要

自20世纪70年代以来，英国冠心病死亡率一直在下降，但仍高于大多数其他西方国家。大多数患者在心肌梗死后接受了一些二级预防治疗，但并非所有患者都能获得最有效的二级预防方案。本文总结的最近发布的英国国家卫生与临床优化研究所（NICE）关于心肌梗死后患者二级预防的指南，基于现有最佳证据，对心肌梗死后患者的管理提出了明确建议。该指南更新了2001年的NICE指南，扩大并强调了对体育活动、饮食及其他生活方式改变以及心脏康复的建议，并更新了药物治疗建议。