Evid Based Nurs 2:21 doi:10.1136/ebn.2.1.21
  • Treatment

Nurse led secondary prevention clinics improved health and decreased hospital admissions in patients with coronary heart disease

 Question Can nurse led secondary prevention clinics improve health and decrease symptoms for patients with coronary heart disease (CHD)?


Randomised controlled trial with 12 months follow up.


19 general practice clinics in north east Scotland.


1343 patients with CHD from randomly selected general practice clinics. At baseline, 47% had chest pain in the previous week. Patients were excluded if they had a terminal illness or dementia, or were housebound. Follow up was 87% (mean age 66 y, 58% men).


Patients in the intervention group (n=673) were invited to attend nurse led secondary prevention clinics during the first 3 months for assessment of their symptoms, treatment, blood pressure, lipid management, and lifestyle factors; promotion of …

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