title: From heart surgery to prevention.
abstract: The evolution of the management of coronary artery disease over the last 30 years has been dramatic. Medical therapy, which often proved ineffective, was the mainstay of therapy until the mid-1960s. Then, coronary artery bypass grafting (CABG) revolutionized treatment, and the overall strategy became an invasive one. There was another shift to less invasive therapy with the advent of percutaneous transluminal coronary angioplasty (PTCA). Today, we have come nearly full circle with prevention becoming the cornerstone of management. Preventive intervention programs are evolving. They generally make extensive use of nurses and other nonphysician healthcare professionals. The experience of the preventive cardiology program at the Cleveland Clinic Foundation is reviewed.
authors.affiliation: Section of Preventive Cardiology, The Cleveland Clinic Foundation, Ohio 44195, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Sprecher
mesh_terms: D000465:Algorithms; D015906:Angioplasty, Balloon, Coronary / Q000266:history; D000924:Anticholesteremic Agents / Q000627:therapeutic use; D001026:Coronary Artery Bypass / Q000266:history; D003327:Coronary Disease / Q000266:history / Q000517:prevention & control / Q000628:therapy*; D018752:Diet, Fat-Restricted; D015444:Exercise; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008297:Male; D008875:Middle Aged; D009820:Ohio; D011314:Preventive Health Services / Q000266:history / Q000458:organization & administration; D012307:Risk Factors
chemical_list: D000924:Anticholesteremic Agents