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

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
Thursday, 25 October 2012
Familial hypercholesterolaemia (FH) is a monogenic inherited condition with high risk of premature CHD. We present the extent of LDL-C lowering, DNA testing and cascade testing in adults with FH attending UK lipid clinics. Only 44% of the patients achieved a >50% lowering of LDL-C from the baseline value. Half of all patients and 53% of women with CHD failed to achieve the target >50% reduction in LDL-C. There is a major lack of family "cascade" testing. Funding for DNA testing and cascade testing is lacking in many parts of the UK.
Category: Editorial
Thursday, 25 October 2012
Taking steps to improve care of patients with dementia - Zoë Elkins, Penny Garner Dementia is common. This article describes specific ways to improve communication these patients, including the SPECAL photograph album and observational tracking.
Category: Editorial
Thursday, 25 October 2012
The trigemino-cardiac reflex can result in potentially fatal apnoea, hypotension or dysrhythmia when thesensory branches of the trigeminal nerve located in the nasopharynx are stimulated. We report the occurrenceof this reflex, following nasal packing for epistaxis, that led to respiratory and circulatory arrest.
Category: Editorial
Thursday, 25 October 2012
The challenges to changing lifestyle behaviours and delivering lifestyle support in primary care are described here. The role of primary care in delivering evidence-based interventions for lifestyle change is also discussed.
Category: Editorial

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