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

Editorial

Sunday, 07 July 2013
Successful management of individuals with diabetes, or any other single component of the metabolic syndrome, requires treatment of all the related physiological systems as a whole. This treatment must be underpinned by the management of obesity, and drugs should be preferred that address the entire portfolio of the metabolic syndrome.
Category: Editorial
Sunday, 07 July 2013
This study shows that people living in London have better treatment rates with lipid lowering drugs than the general population. This observation may be explained in part by the fact that London is a highly mobile population, so new patient checks are more common.
Category: Editorial
Sunday, 07 July 2013
"I like to think of medicine in our day as an ever-broadening and deepening river, fed by the limpid streams of pure science- Christian A. Herter (1865-1910), US neurologist, New York.
Category: Editorial
Sunday, 07 July 2013
The NHS Health Check offers 15 million people aged 40-74 in England an assessment of cardiovascular risk, together with preventive interventions, once every five years. This national programme has aroused some controversy, but there is an urgent need to takeaction now to reduce the toll in England of preventable, premature death and disability caused by cardiovascular disease.
Category: 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

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