Background: The problem of ischaemic heart diseases (IHD) is still raising concern on more than one aspect: epidemiological, social, and clinical. Risk prediction using simplified tools can aid in risk quantification and stratification. Secondary attacks of IHD can be prevented, or at least predicted for proper control. Aim: Improvement of the quality of life of IHD patients and reduce related morbidities and complications, through estimation of secondary attacks risk, and vascular death. Methods: SMART risk score and SMART-REACH risk model calculators were used to assess 10-year risks of IHD recurrence. Results: Improvements were noticed for each patient individually, even if there were trials to manage only one risk factor. Collectively, improvement figures were not as good when averages were calculated. Conclusion: Secondary IHD attack risk calculation and stratification are both essential as parts and parcels in IHD patient care and management.

secondary attack, cardiovascular disease/s, ischaemic heart diseases, SMART risk score, SMART-REACH risk model.