The Expert Guide to Beating Heart Disease: What You Absolutely Must Know
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Harlan M. Krumholz, MD
262 pp. New York, NY: Harper Resource, a division of HarperCollins Publishers; 2005. $14.95. ISBN 0-06-057834-3. Available in paperback.
This new paperback provides welcome help for the field of preventive cardiology at a time of real need. Evidence-based research over the past 20 years has defined highly effective therapies to prevent and modulate the progression of coronary heart disease in patients at risk. Practitioners who counsel and care for these patients have learned that the battery of lifestyle and drug interventions demonstrated to produce these benefits requires a successful partnership between a physician (or RN or RD) aware of the evidence-based guidelines and an informed patient who understands something of the nature of the disease and the rationale for the therapies prescribed. Only in such a setting can we expect consistent patient adherence to the multiple therapies required to actually achieve the benefits defined in studies and trials.
Although most who care for such patients could cover the information needed to produce compliance-enhancing understanding in our patients, the pressures of current practice erect significant barriers. Simply …