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Many patients at high risk for cardiovascular disease (CVD) are managed in primary care. According to national and international guidelines, measures to prevent CVD, such as patient education, can be delegated to practice nurses in primary care. Studies have shown reductions in cardiovascular risk factors in rehabilitation programmes, but the effect of primary prevention of CVD by practice nurses is unclear.1 ,2
The study by Voogdt-Pruis and colleagues is a pragmatic randomised trial of the …
Competing interests None.