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

Editorial

Monday, 17 December 2012
There were plenty of examples of both intellectual and communication skills at the Primary Care Cardiovascular Journal (PCCJ) and British Journal of Primary Care Nursing (BJPCN) conference, held at Scarman House, University of Warwick on the 16th-17th November 2012. The theme was 'Issues and answers in cardiovascular disease: applying the evidence in primary care today'.
Category: Editorial
Monday, 17 December 2012
Cardiovascular disease (CVD) risk assessment is a central part of the strategy for identification and treatment of high-risk cases, as was recognised in the National Institute for Health and Clinical Excellence (NICE) guidelines on lipid modification. A national strategy devised by the Department of Health for screening all individuals aged between 40 and 75 years exists in the UK though implementation and uptake have been variable. Unfortunately, in screening programmes the greatest uptake tends to be among the white population, wealthier people and women rather than among those groups in which CVD is over-represented: men, poor individuals and those from ethnic minorities. This has posed a great challenge to risk screening but non-traditional approaches including those in places of worship, pharmacies and communally-led initiatives seem to lead to greater success.
Category: Editorial
Monday, 17 December 2012
At least 22% of men and women in the UK are obese. All health professionals need to be skilled in the initial management of obesity. Behaviour change is core to any strategy, as are brief interventions that incorporate advice on physical activity and healthy eating. Training in primary care needs greater emphasis for the future management of obesity.
Category: Editorial
Monday, 17 December 2012
The study found a significant prevalence of sub-clinical atrial fibrillation (AF) within the community. AF confers a five-fold risk of stroke, and the risk of death is doubled in AF-related stroke.
Category: Editorial
Monday, 17 December 2012
There are now four agents in the new class of glucose-lowering agents called dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors) available in the UK. They are, in order of launch in the UK, sitagliptin, vildagliptin, saxagliptin and linagliptin. Several others are in the pipeline and are likely to be launched before long. This article will discuss their place in treating diabetes and the differences between them.
Category: Editorial
Monday, 17 December 2012
We hypothesised that practice heart failure registers may not be complete or robust due to patients not always being allocated the correct READ codes. We set up a project which improved practice heart failure registers. Ensuring practices have robust registers, by improving clinical coding in general practice, means more accurate prevalence levels can inform planning and commissioning of heart failure services.
Category: Editorial
Monday, 17 December 2012
Our study investigated the primary risk factors present in patients admitted for acute coronary syndromes. There were significant numbers of current smokers, and patients with hypertension, hyperlipidaemia and diabetes. Aggressive secondary prevention measures are recommended, and education on hospital discharge is essential.
Category: Editorial
Tuesday, 04 December 2012
Our study investigated the primary risk factors present in patients admitted for acute coronary syndromes. There were significant numbers of current smokers, and patients with hypertension, hyperlipidaemia and diabetes. Aggressive secondary prevention measures are recommended, and education on hospital discharge is essential.
Category: Editorial

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