Despite of certain successes from preventive measures, myocardial infarction and coronary heart disease are still responsible for a great part of deaths and premature disabilities in western industrialized nations. The rates are even increasing in Eastern Europe. In the Far East, however, incidence of myocardial infarction is low due to nutrition habits low in fat and low serum cholesterol levels. In 1986 and 1988 European Consensus Conferences have agreed on recommendations for the prevention of coronary heart disease. The population strategy seeks to improve the health-oriented behaviour of the whole population. The goal of the individual or high risk strategy is the identification and treatment of persons who are at particular risk. Among the influenceable risk factors hyperlipidemia, hypertension and cigarette smoking are of decisive importance. It is a goal to reduce cholesterol levels to 200 mg/dl by means of lipid lowering diet and, if necessary, drug treatment.
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