Preventing IHD
- Exercise (Decreased BP, Increased HDL)
- Stopping smoking
- Eating healthily
- Avoid obesity
- Moderate alcohol drinking
Smoking cessation
- Psychological
- Advice congruent to patient's beliefs about smoking
- Enumerate advantages to increase motivation
- Invite patient to choose a date to stop
- Throw away all accessories
- Pharmacological
- Nicotine gum
- Varenicline (oral selective nicotine receptor partial agonist)
- Bupropion (increases dopamine in mesolimbic system and via noradrenergic effects in the locus ceruleus)
Risk equation calculation
- Age
- Sex
- BMI
- Cholesterol/HDL
- FHx
- BP
- Smoking
- PMHx (IHD, rheumatoid arthritis, AF, hypertension, renal disease)
- Social deprivation (via postcode)
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