(Circulation. 2000;101:111.)
© 2000 American Heart Association, Inc.
AHA Scientific Statement |
Prevention Conference V
Beyond Secondary Prevention : Identifying the High-Risk Patient for Primary Prevention : Executive Summary
Key Words: AHA Conference Proceedings • prevention • atherosclerosis • coronary disease • lipids • risk factors • tests
Introduction
This conference, "Beyond Secondary Prevention: Identifying the High-Risk Patient for Primary Prevention," which was the fifth in a series of prevention conferences sponsored by the American Heart Association (AHA), was held October 26–28, 1998, in San Francisco, Calif. The need for this conference was precipitated by the remarkable advances in medical therapies for the prevention of coronary heart disease (CHD). The AHA has already set forth guidelines for aggressive medical therapy in patients with established CHD (secondary prevention). The major issue under consideration at this conference was the development of strategies to identify high-risk patients without established CHD who are candidates for aggressive medical therapies for primary prevention. Therefore, a central theme for the conference was the emphasis on establishing a prognosis for high-risk patients without clinical evidence of CHD. Three writing groups were established to report on the following areas: (1) medical office assessment, (2) tests for silent and inducible ischemia, and (3) noninvasive tests of atherosclerotic burden. Each working group reviewed research on existing risk-assessment strategies relevant to the prediction of risk in patients without clinical evidence of CHD.
The key findings of each working group are presented in this
Executive Summary of the conference. The full conference report with
references is available online at http://circ.ahajournals.org/ in the
January 4, 2000, issue of Circulation. The
recommended strategies will assist in expanding preventive therapies,
including lipid lowering, blood pressure control, smoking cessation,
diet, and exercise, to patients at high risk for developing CHD. The
following briefly summarizes the
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