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

Editorial

Sunday, 07 July 2013
The long-awaited Joint British Societies' consensus recommendations for the prevention of cardiovascular disease (JBS3) have been published nine years after publication of JBS2, which caused a furore and much debate about lipid targets of 4.00 mmol/l and 2.00 mmol/l that were subsequently endorsed by NICE. So what are the most important new recommendations from JBS3, and what will they mean for our patients and our clinical practice?
Category: Editorial
Sunday, 07 July 2013
GPs, practice nurses and other primary healthcare professionals are now at the frontline of managing cardiovascular disease (CVD) and delivering preventive care. The aim of this study was to explore clinicians' experiences and their views on the factors that influence their ability to fulfilthis demanding role. GPs and other primary healthcare professionals expressed similar views. In particular, they reported a sense of pressure and disempowerment, and voiced concerns about the ability of general practice to take on its greater role in reducing the burden of CVD.
Category: Editorial
Sunday, 07 July 2013
"Doctors are and should be natural leaders, and part of the skill of being a leader is to work with other leaders in the intricate network of the National Health Service-  Sir John Grugeon, hospital doctor, 5th July 1988.
Category: Editorial
Sunday, 07 July 2013
Atrial fibrillation (AF) is the commonest cardiac arrhythmia seen in primary care and, if left untreated, is a significant risk factor for stroke. New evidence-based guidelines from the National Institute for Health and Care Excellence (NICE) include practice-changing recommendations on the diagnosis and assessment of AF, the role of aspirin and novel oral anticoagulants (NOACs), specialist referral,and shared decision-making with patients.
Category: Editorial
Sunday, 07 July 2013
Identifying those people at an increased risk of cardiovascular disease (CVD) who might benefit from a therapeutic intervention or lifestyle advice is an important challenge. We summarise here the performance of QRISK2 against the NICE version of the Framingham Risk Score.
Category: Editorial
Sunday, 07 July 2013
The NHS Health Check is changing again. Since the beginning of April 2013, practice nurses have been expected to raise the issue of dementia when seeing patients aged 65-74. But why (I can hear you ask)? Surely we have enough to do! This article explains why dementia matters, and sets out your role in the NHS Health Check.
Category: Editorial
Sunday, 07 July 2013
Heart failure (HF) imposes a significant burden across the UK, both for patients and the NHS. Optimal management of HF could improve patient outcomes and reduce costs for clinical commissioning groups (CCGs). HF is, however, complex to manage, and despite recent improvements there is evidence of a continuing lack of adherence to guideline recommendations. Enhance HF™ is a tool that supports GPs in optimising the management of HF due to left-ventricular systolic dysfunction to help deliver more costeffective care for patients in their practice.
Category: Editorial
Sunday, 07 July 2013
We highlight in this article some of the issues on HIV and cardiovascular disease (CVD) to assist primary healthcare practitioners to improve the health outcomes, particularly in relation to CVD, of their HIV patients.
Category: Editorial

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