Prevention of recurrent heart attacks and strokes in low and middle income populations

Evidence-based recommendations for policy makers and health professionals.

Overview

This publication summarizes the evidence for the effectiveness of interventions for secondary prevention of coronary heart disease (CHD) and cerebrovascular disease (CeVD). A commentary on the evidence for cardiovascular prevention in peripheral vascular disease and diabetes is also included.

Each review of evidence is followed by a short summary of clinical recommendations for secondary prevention. A review of other considerations influencing policy-makers in the implementation of secondary prevention strategies, including health economics, follows. Finally, the book identifies areas in which research is needed to improve secondary prevention of CVD in low- and middle-income populations.

This publication is intended for practicing physicians responsible for the care of patients with established cardiovascular disease (CVD) - specifically CHD and CeVD - in low- and middle-income populations and countries. The aim is to provide general guidance about the effectiveness - or lack of effectiveness - of specific interventions, both pharmacological and non-pharmacological.

In addition, the information will help a wide range of health professionals concerned with individual and community care, and will provide guidance to health policy-makers about the broader issues pertaining to implementation of interventions in low- and middle-income populations.

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