This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Harvey B. Simon, MD

Arch Intern Med. 1994;154(20):2283-2296.

Abstract
The control of coronary artery disease requires both physician-directed interventions and patient-directed lifestyle changes that may include nonprescription supplements. All patients should be encouraged to exercise regularly. They should be advised to avoid exposure to tobacco smoke and to strive to attain ideal body weight. Patients should also be encouraged to establish diets that are low in cholesterol and fat and high in dietary fiber. Supplements of water-soluble fiber may be useful for selected patients. Diets rich in antioxidant vitamins should also be stressed. Antioxidant supplements may be warranted in individuals with coronary artery disease or risk factors. Pending further study, patients should be encouraged to consume more fish but not fish oil supplements. Therapeutic doses of niacin should not be used without medical supervision. Chromium and other nutritional supplements, however, may merit consideration in selected cases. Physicians should stress the use of nonpharmacologic means to reduce blood pressure and discuss interventions that could reduce excessive stress. With appropriate screening and precautions, selected individuals should benefit from low-dose aspirin prophylaxis and possibly from low-dose alcohol consumption. Because these patient-directed interventions receive less attention in the scientific literature, they were selected for review herein.

(Arch Intern Med. 1994;154:2283-2296)

Author Affiliations
From the Cardiovascular Health Center and Department of Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, Mass

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Low Toenail Chromium Concentration and Increased Risk of Nonfatal Myocardial Infarction
Guallar et al.
Am J Epidemiol 2005;162:157-164.
ABSTRACT | FULL TEXT  

Taking up regular drinking in middle age: effect on major coronary heart disease events and mortality
Wannamethee and Shaper
Heart 2002;87:32-36.
ABSTRACT | FULL TEXT  

Chromium: Friend or Foe?
Porter et al.
Arch Fam Med 1999;8:386-390.
ABSTRACT | FULL TEXT  

Prospective Study of Moderate Alcohol Consumption and Mortality in US Male Physicians
Camargo et al.
Arch Intern Med 1997;157:79-85.
ABSTRACT