In this article, we look at how a primary prevention team introduced a systematic approach to target people who had premature coronary heart disease in their family and offer them a comprehensive cardiovascular disease risk assessment.Based on the findings from the EUROACTION study, the next step was to involve their partners based on the recognition that they often share risk factors due to lifestyle.
Keeping it in the Family: Reducing Risk in Relatives of Patients with Premature Heart Disease
Editorial: Optimising insulin treatment in primary care
Everyone with diabetes deserves the highest standards of personalised diabetes care,no matter where,when or by whom this care is delivered.
When is coronary revascularisation superior to medical therapy in patients with angina?
Age cut-off for aspirin therapy to prevent cardiovascular disease in patients without diabetes
Cardiovascular risk management series: 3 – Identifying high-risk patients
Aspirin or Warfarin for Atrial Fibrillation
Editorial
A happy and productive 2009 to all our readers! We hope that as we all face the challenges – and, we hope, joys – that this year will bring, BJPCN can provide the practical and reliable information and advice that you tell us you find so useful.
Triglycerides: Making Sense Of The Sometimes Forgotten Lipid Fraction
The importance of lowering total and LDL cholesterol (LDL-C) in the prevention of cardiovascular disease (CVD) is so firmly established that it has,in only a short time, become part of everyday practice for all primary care health professionals.Lipids,of course,come in multiple forms,which include fatty acids,the different forms of cholesterol and triglycerides.Most practitioners have only a sketchy idea of what triglycerides are,what they do and how important they are.Few understand the intricacies of measurement, diagnosis and interpretation,and when – and how – to manage them.The story is complex and involves difficult biochemical and metabolic concepts,so we should begin at the beginning.
Cardiac Resynchronisation: A New Approach To Managing Chronic Heart Failure
About 40% of patients with heart failure die within one year of diagnosis,underlining the need for more effective management.Nearly one-third of patients with heart failure may have an abnormality in the electrical conducting system of the heart.In this article,we review cardiac resynchronisation and its role in managing chronic heart failure.
Editorial
The menopause has moved on from simply being a source of euphemisms for hot flushes as ‘power surges’ or ‘tropical moments’ to being recognised as an important stage in a woman’s life. It also has particular significance in CVD risk, which we address head-on in this issue of BJPCN.
Transient ischaemic attack: the ‘funny do’ that is no joke
How do you recognise a transient ischaemic attack (TIA) and how does this differ from a full stroke? In this article, we explore the ABCD2 score, which can be used to identify high- and low-risk TIAs, and the best course of action if a TIA is suspected. A TIA is very often the herald of a more serious and permanent stroke, underlining why it should be acted on as a matter of urgency, and there is an update on the current guidance from NICE and the Royal College of Physicians.
Dragging their feet: The cost of sub-optimal treatment for patients diagnosed with peripheral arterial disease
Target PAD is a multidisciplinary group of expert clinicians, working to improve outcomes and quality of life for patients with peripheral arterial disease (PAD). PAD is an important and common condition, which is currently under-diagnosed and underrated worldwide and in the UK. Target PAD’s mission is to improve education and awareness of the disease among patients, health professionals and […]