Nice | MI secondary prevention

28th November 2013 by Louise Hudman

This guideline from Nice, updates the advice regarding the secondary prevention of MI. Much of the guidance is the same. The biggest change is regarding the use of antithrombotics. I have summarised some of the main changes below and the advice regarding antithrombotic use.

Cardiac rehabilitation

Uptake of this is really low (44%). The new guideline advises us to check that patients are attending and to encourage them to go if they aren’t. It reduces all cause mortality and increases exercise tolerance.

Lifestyle advice

Oily Fish – we should no longer advise oily fish solely to avoid further MI. There is no evidence of harm though.

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