Rashid Chaudhry, Rashid Chaudhry, Fahd A Chaudhry.
Primary prevention of Coronary Artery Disease (review).
Pak Heart J Jan ;35(1-4):26-36.

There are three broad key groups of patients who require intensive primary prevention for coronary artery disease (CAD). The first group includes patients of 10 year CAD risk > 20% on Framingham scoring table. The second group is of diabetic patients. The metabolic and lipid abnormalities in diabetics place them at high risk of CAD. These two groups are considered to be CAD risk equivalents. That is, their 10 year risk is similar to 10 year risk of an individual with CAD. A third group of patients known as of metabolic syndrome, is also at markedly high risk of CAD and requires intensive primary prevention. The measures to bring down 10 year risk of CAD in these three groups include life style modification include an array of steps to target diet, weight, smoking, physical activity, lipids and BP. These life style changes are to be employed prior to or along with drug therapy to achieve optimal goal of primary prevention. This is a review article.

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