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

Editorial

Friday, 24 May 2019
The theme of the recent British Society for HF (BSH) annual conference was ‘The heart failure Multidisciplinary Team’. This was timely given the publication of three key reports within the last few months, all presented at the meeting, which referenced the importance of multidisciplinary care. The conference had a sell-out audience of >900 delegates and speakers including cardiologists, nurses, pharmacists, geriatricians, GPs, respiratory physicians, psychologists, third sector organisations and patients.
Category: Editorial
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Friday, 17 May 2019
The NICE 2015 guidelines on the diagnosis and management of menopause provides useful evidence-based guidance on the menopause, but it is unclear if many GPs are able to confidently prescribe appropriate hormone replacement therapy (HRT).  This brief article gives an overview of the importance of HRT and aims to help GPs to manage their patients experiencing menopause.
Category: Editorial
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Thursday, 18 April 2019
As many as 16 million people in the UK are estimated to have hypertension, and around 7 million of these are undiagnosed. Of those diagnosed in England, one third are not receiving optimum management.
Category: Editorial
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Thursday, 18 April 2019
Obesity is estimated to be responsible for more than 30,000 deaths each year, reducing lifespan by an average of nine years. The links between obesity, diabetes and cardiovascular disease are well documented, but overweight and obesity also causes 6% of cancers in the UK. These figures have resulted in warnings that obesity is the new smoking when it comes to risks to health and longevity. So the problem is clear. The challenge is to put into action what works.
Category: Editorial
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Thursday, 18 April 2019
Cardiovascular disease (CVD) is the leading cause of death worldwide. Elevated blood pressure (BP) is the main global risk factor for premature morbidity and mortality, and the prevalence of hypertensive heart disease is not declining over time. Improved control of high BP is, therefore, fundamental to further prevention of CVD, and adoption of treatment guidelines can have a positive impact on BP-related outcomes.
Category: Editorial
Tuesday, 02 April 2019
A local GP practice in Milton Keynes has designed a valuable tool to triage patients presenting with chest pain and to help them avoid unnecessary emergency hospital admissions.  The locality has no dedicated unit, so patients require either emergency hospital admission, a referral to Rapid Access Chest Pain Clinic (RACP), cardiology outpatient clinic (OPD), or management in primary care.
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
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

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