Secondary Prevention

The best predictor of risk of a myocardial infarction is to have had previous a myocardial infarction. After the measures instituted in the first few hours, the principal objective of treatment therefore becomes prevention of future infarcts. Patients should receive advice about exercise and diet before discharge, and most enter a formal rehabilitation programme after leaving hospital. In particular, patients need to reduce saturated fat intake, and there is increasing evidence of the benefit of increased intake of fish and olive oil.

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