Around one-third of patients with peripheral arterial disease (PAD) fail to receive appropriate antiplatelet treatment, warns a review from an expert panel, which highlights the huge cost of sub-optimal treatment of PAD on the NHS, the economy as a whole and on the individuals affected.
The essentials of diet and supplements for improving cardiovascular health
The BEAUTIFUL study: underlining the importance of heart rate
Sixty years on, and it is the quality that counts
Early indications of best practice in reducing the inequalities in vascular health in England
Cardiovascular disease and type 2 diabetes
C-reactive protein as a marker of cardiovascular risk. Chicken, egg or turkey?
Review calls for greater effort to diagnose and treat peripheral arterial disease
Editorial
Raindrops keep falling on my head’ might have been the theme tune for most of this summer. Hopefully, we might have a drier winter to make up for the downpours we have had over the last few months. But we hope this issue of BJPCN will provide a handy ‘umbrella’ to keep you dry under the storm clouds you might have to face in the day-to-day management of the wide range of patients with cardiovascular disease (CVD) and diabetes.
Herbal Medicines and the Clinical Management of Cardiovascular Disease and Diabetes
Many people use herbal medication of some sort, but several commonly used herbs have been shown to interact with prescribed medication. Studies show that many patients either do not realise that the herbs could interact (and anyway do not class the herbs as medicines) or do not want to tell their practitioner that they are using them. With many more nurse prescribers taking control of management of patients with longterm conditions such as diabetes and ischaemic heart disease, it is vital that we consider that the patient may be taking non-prescribed medication including herbs and supplements.
Heart Failure Specialist Nurses: Feeling the Impact
Heart Failure Specialist Nurses (HFSNs) now work in the community alongside their general practice colleagues. They can act as a valuable resource to support the primary care team in the management of heart failure patients. They carry out home visits and run community clinics to stabilise patients after discharge from hospital following an acute event. The aim is to educate patients and their family carers how to manage living with heart failure, up-titrate medications to optimal levels, stabilise the patient and then hand them back to the care of the primary care team, knowing that they will be referred back to the HFSN should their condition deteriorate. However, some complex patients with advanced heart failure (NYHA III or IV) and at high risk of re-hospitalisation are retained in the specialist nurse caseload.
Back to Basics: Making sense of peripheral arterial disease (PAD)
The penis as a barometer of cardiovascular risk
The arteries that supply the penis are very small and may be more prone to atherosclerosis than larger vessels. This means that the penis may be the first area in a man’s body to suffer from a reduction in blood flow and so signal cardiovascular disease.