The online home for the primary care professionals managing patients with cardiovascular disease, diabetes and related diseases.

Monday, 01 April 2019
The NHS Health Check is a national programme offering a health check-up every five years to adults in England aged 40 to 74 without a pre-existing cardiovascular condition. One of the largest prevention programmes of its type in the world, the programme is designed to help prevent and detect early signs of heart disease, stroke, kidney disease, type 2 diabetes and dementia. 1 This article reviews the evidence that has accumulated since the programme was established.
Thursday, 14 March 2019
There appears to be an association between migraine and cardiovascular disease and especially ischaemic stroke. How real is the absolute risk, what may be the cause, and what, if anything should we tell our patients?
Category: Editorial
Thursday, 14 March 2019
Many patients with atrial fibrillation are treated with direct oral anticoagulants (DOACs) to reduce the risk of stroke. To maintain patient safety, clinicians must be educated on how to manage DOACs, from safe prescribing to managing complications. A recent audit shows the potential for inadequate monitoring when compared to local clinical protocols.
Category: Editorial
Friday, 08 March 2019
Given that cardiovascular disease (CVD) is responsible for a quarter of all deaths in the UK and is the largest cause of premature mortality in deprived areas, the NHS Long Term Plan recognises that CVD is the single biggest area where the NHS can save lives over the next 10 years.
Category: Editorial
Friday, 08 March 2019
In the 70 years since the NHS was founded there have indeed been remarkable successes in reducing mortality from common conditions, an important example being deaths due to heart and circulatory disease. Yet the statistics show that there is more to be done to prevent the toll of premature death and years of disability associated with CVD. For this reason, we welcome the continuing focus on CVD prevention as set out in this publication, produced with the support of PHE and NHS England.
Category: Editorial
Monday, 25 February 2019
The updated Chronic Heart Failure guideline from the National Institute for Health and Care Excellence was published in September. This article covers the key recommendations relevant to primary care.
Category: Editorial
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Thursday, 07 February 2019
Consumption of moderate amounts of full fat dairy products is associated with lower risk of mortality and major cardiovascular disease events in a diverse multinational cohort, in a study published recently in the Lancet.
Thursday, 07 February 2019
Results from the DECLARE study show that the SGLT-2 inhibitor dapagliflozin reduces hospitalisation for heart failure or CV death with no increase in major CV events compared with placebo in a broad population of over 17,000 patients with type 2 diabetes. These are important findings, and more or less consistent with findings noted with other SGLT-2 inhibitors.
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Thursday, 07 February 2019
Loss of muscle and body weight (or cachexia) is associated with disability after stroke, in the first study to prospectively investigate the development of cachexia in patients after acute stroke. The study showed that the amount of skeletal muscle throughout the body declines after stroke, which could require treatment options such as dietary supplementation and exercise training to prevent muscle wasting.
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Thursday, 17 January 2019
Approximately one third of all stroke patients have diabetes, according to a large meta-analysis and literature review. Diabetes is associated with poorer stroke outcomes compared with people without diabetes.
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