Nurse led disease management clinics may improve long-term coronary heart disease outcomes in primary care

Secondary prevention may reduce the risk of coronary events and death among people with coronary heart disease. E¡ective secondary prevention is multifactorial, including lifestyle, behavioural and pharmaceutical interventions. Most secondary prevention takes place in primary care settings. The authors found that nurse led clinics in primary care improved components of secondary prevention after one year. It remains uncertain whether programmes that improve lifestyle and medical factors translate into reduced coronary event and death rates