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The benefits of nurse led secondary prevention clinics for coronary heart disease continued after 4 years

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QUESTION: In patients with pre-existing coronary heart disease (CHD), do the benefits of nurse led secondary prevention clinics continue beyond 1 year?


Randomised {allocation concealed}*, unblinded*, controlled trial with mean follow up of 4.7 years.


19 randomly selected general practices in Scotland, UK.


1343 patients (mean age 66 y, 58% men) who had CHD. Exclusion criteria were terminal illness, dementia, and inability to leave home. 82% of patients were followed up.


673 patients were allocated to receive invitations to attend secondary prevention clinics at their general practice where nurses reviewed symptoms and treatments, …

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  • Source of funding: Chief Scientist Office at the Scottish Executive.

  • For correspondence: Mr P Murchie, Department of General Practice and Primary Care, University of Aberdeen, Aberdeen, UK. p.murchie{at}

  • A modified version of this abstract appears in Evidence-Based Medicine.