5. Conclusions
cardiovascular disease
HEART, CARDIOVASCULAR DISEASE
In conclusion, the offering of the Healthy Heart programme to patients with high cardiovascular risk in The Hague in the current form did not lead to improvement of cardiovascular risk outcomes, lifestyle behaviour or number of practice-consultations and it was not cost-effective. Further research should focus on how to reach the whole at-risk population, also beyond primary practice, and how to implement lifestyle change programmes as a proactive intervention in primary care in collaboration with other domains and thereby reduce the cardiovascular disease burden.