Secondary Prevention in Coronary Artery Disease and Myocardial Infarction

1. Front Matter

   Pages I-XVII

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2. The Role of Risk Factors in Secondary Prevention

   1. Front Matter

      Pages 1-1

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   2. Cessation of Smoking

      • R. Mulcahy

      Pages 3-10

   3. The Importance of the Cessation of Cigarette Smoking in the Tertiary Prevention of Coronary Heart Disease

      • P. Seer, H. Weidemann, Th. Bruhn

      Pages 11-15

   4. Control of Hypertension

      • L. Wilhelmsen

      Pages 17-22

   5. Lipid Lowering Regimens in Secondary Prevention of Coronary Heart Disease

      • G. Schlierf

      Pages 23-29

3. The Role of Social Class in Secondary Prevention

   1. Front Matter

      Pages 31-31

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   2. Mortality After Myocardial Infarction Role of Social and Behavioral Factors

      • E. Weinblatt, W. Ruberman

      Pages 33-46

   3. The Impact of Social Level on Prognosis After Myocardial Infarction

      • H. Gohlke, P. Betz, H. Roskamm

      Pages 47-53

   4. Social Class and Prognosis in Coronary Heart Disease

      • N. Hickey

      Pages 55-60

   5. Short and Long-term Prognosis After First Myocardial Infarction. Influences of Social Class

      • B. Weiss, K. Donat, W. J. Ziegler, K. Ivens, J. Schuchart

      Pages 61-66

4. The Role of Medication in Secondary Prevention

   1. Front Matter

      Pages 67-67

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   2. Beta-blocking Agents in Secondary Prevention

      • Å. Hjalmarson

      Pages 69-80

   3. Beta-blocking Agents in the Secondary Prevention after Acute Myocardial Infarction, with Special Reference to the European Infarct Study (EIS)

      • P. R. Lichtlen

      Pages 81-93

   4. Platelet Aggregation Inhibitors

      • G. V. R. Born

      Pages 95-100

   5. Platelet Inhibitors or Anticoagulants for Prevention of Aorto-Coronary Bypass Graft Occlusion

      • M. E. Rothlin

      Pages 101-107

   6. Cardiovascular Protection by Calcium Antagonists

      • A. Fleckenstein, M. Frey, G. Fleckenstein-Grün

      Pages 109-121

   7. The Influence of Nitrates on Prognosis in Patients with Coronary Heart Disease

      • W.-D. Bussmann

      Pages 123-131

   8. Metabolic Aspects of Preventive Drug Administration

      • H. Kammermeier

      Pages 133-139

5. The Role of Physical Exercise in Secondary Prevention

   1. Front Matter

      Pages 141-141

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Despite considerable effort in primary prevention, coronary heart disease continues to be the leading cause of death in the industrialized nations. The patient who survives his first myocardial infarction carries approximately a tenfold risk of recurrence and sudden death when compared to the normal population. The concept of secondary prevention, therefore, has emerged as an active strategy aimed at the reduction of fatal and non-fatal recurrences of myocardial infarction. Apart from risk factors of relevance in primary prevention, secondary prevention is dependent on the extent of the disease itself; in other words the number of vessels involved, the extent of myocar­ dial damage and the degree of electrical instability. Nonmedical aspects such as the level of education, the degree of social support and the attitude towards stress also appear to influence the prognosis. The aim of this volume is to bring together all those factors relevant to achieving the maximal life span in patients afflicted with a disease that by its very nature is a lifelong process. However, as the late Paul Dudley White stated appropriately more than 40 years ago, it is not sufficient merely to add years to a life, one should also add life to the years. This concept truly is the nucleus of secondary prevention, sine only a life worth living generates the motivitation needed to take all the steps necessary in secondary pre­ vention. The authors and the editor are most grateful to Pharma Schwarz Inc.

• Bypass
• cardiovascular
• coronary artery disease
• heart
• hypertension
• rehabilitation

`...this book is a very interesting contribution to a major medical and socio-economical problem. This publication has clearly presented the multifacet aspects and difficulties of the subject.'
Acta Cardiologica (1986)

• Klinik Höhenried, Center for Cardiac Rehabilitation, Bernried (Obb.), Germany

  Peter Mathes

• Medical School, Technical University of Munich, Munich, Federal Republic of Germany

  Peter Mathes

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