title: Office care of patients after myocardial infarction.
abstract: Declining death rates from heart disease since the 1950s have been largely attributed to secondary prevention. Unfortunately, studies demonstrate remarkable underutilization of secondary prevention plans by health care providers. Health care providers should develop secondary prevention plans for patients who have sustained a myocardial infarction or an acute coronary syndrome. The secondary prevention plan should include four core components: initial patient risk assessment, pharmacologic therapy, therapeutic lifestyle changes and intervention, and psychosocial evaluation.
authors.affiliation: Department of Family Medicine, Uniformed Services University, Bethesda, MD 20762, USA. richard.derby-02@afnrc.af.mil
authors.forename: Richard C
authors.initials: RC
authors.lastname: Derby
authors.forename: Brian V
authors.initials: BV
authors.lastname: Reamy
authors.forename: Ray L
authors.initials: RL
authors.lastname: Plumley
mesh_terms: D017281:Cost of Illness; D006801:Humans; D008019:Life Style; D009203:Myocardial Infarction / Q000188:drug therapy / Q000517:prevention & control / Q000628:therapy*; D011320:Primary Health Care; D018570:Risk Assessment