The Global HEARTS initiative and WHO BEST BUY interventions for cardiovascular disease prevention include all EXCEPT:
- A Routine coronary angiography for all adults over 40 ✓
- B Tobacco taxation and cessation support
- C Salt reduction in food supply
- D Aspirin therapy for acute myocardial infarction
Correct answer: A. Routine coronary angiography for all adults over 40
Explanation
WHO 'Best Buys' are interventions with very high cost-effectiveness for NCD prevention: tobacco taxation, salt reduction, trans-fat elimination, alcohol control, aspirin for ACS, multi-drug therapy for high CVD risk, hepatitis B vaccination, and others. Routine coronary angiography for all adults over 40 is not a best buy — it is an expensive, invasive tertiary investigation not suitable for population-level primary prevention.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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