Expert articles – Page 2
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NICE quality standard article
Adults with stable CHF should be reviewed every 6 months
Dr Alan Begg explores how NICE’s modified quality standard on chronic heart failure in adults will address priority aspects of care and management
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Top tips
Top tips: hypertension
Dr Alan Begg shares some key points for diagnosing and managing hypertension in primary care
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NICE quality standard article
Primary care needs a strategy to help identify CVD risk
Dr Ivan Benett shows how NICE has prioritised guidance on cardiovascular risk assessment and lipid modification into a quality standard to improve patient outcomes and experience
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NICE quality standard article
Effective anticoagulation can prevent majority of AF-related strokes
Dr Matthew Fay explains why the NICE quality standard for atrial fibrillation in adults was needed to encourage the use of anticoagulation therapy and help reduce the risk of stroke
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Personal view
Should everyone with a 10% risk of CVD take a statin?
Dr Terry McCormack revisits recent controversies about NICE guidance on statins and offers patient scenarios illustrating his own approach in clinical practice
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Hot topic
Rapid treatment after TIA reduces risk and saves lives
Dr Dipankar Dutta explains why timely referrals to TIA clinics are important, how an accurate diagnosis can be made, and how national guidance can help
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Implementing guidelines
Low cost, high intensity statins recommended for lipid modification
Dr Alan Begg describes amendments to the recently updated NICE key therapeutic topics for lipid-modifying drugs, with key changes relating to statin use
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Implementing guidelines
Acute heart failure: new guideline will help to improve outcomes
Dr Andrew Ludman (pictured) and Professor Jonathan Mant describe significant changes to the structure of care and standard treatment of patients with acute heart failure
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Implementing guidelines
NICE VTE pathway is blueprint for reducing death and disability
Dr Anil Kamat shows how the NICE interactive pathway on VTE distils current guidance and support for the diagnosis, treatment, and management of this preventable condition
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NICE quality standard article
People experiencing sudden blackouts need careful assessment
Dr Paul Cooper explains how NICE quality statements can help to improve the assessment, diagnosis, and care of people who experience a transient loss of consciousness
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Implementing guidelines
Low-cost statins offer clear benefits and low levels of risk
Dr Martin Duerden summarises the main changes to NICE’s updated guidance on lipid modification and explores the challenges to primary care that will result
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Implementing guidelines
Poor anticoagulation rates in people with AF need to be addressed
Dr Matthew Fay explains how AF-related stroke is potentially avoidable with effective patient identification and assessment, prescribing, and ongoing timely review
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Implementing guidelines
JBS3 guideline focuses on both short-term and lifetime risk of CVD
Professor John Deanfield explains how the JBS3 approach to CVD risk reduction encompasses the whole population rather than just those individuals at high short-term risk
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Personal view
New guideline on AF will boost stroke prevention
Dr Dipankar Dutta discusses key updated NICE recommendations on stroke assessment and prevention in atrial fibrillation
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Hot topic
People who fall need a medical assessment and drugs review
Dr Ruma Dutta explores causes of falls in older people and explains how addressing orthostatic hypotension and reviewing medications could help to reduce risks
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Personal view
Lifetime CVD risk calculator invites earlier interventions
Dr Alan Begg summarises key aspects of JBS3 that are relevant to primary care and considers some implications for clinical practice
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Personal view
Early treatment for PAD can address risks and outcomes
Prompt diagnosis of peripheral arterial disease can optimisepain-free mobility and avoid future amputations, says Dr Alan Begg
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Personal view
Detailed assessment and safe therapies are needed for ED
Professor Geoffrey Hackett explains why ED is an important marker for men’s health and why prescribing options should be widened
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Implementing guidelines
GPs have a central role in the secondary prevention of MI
Dr Ivan Benett explains the importance of holistic care and understanding for patients who have had a heart attack and how general practice can help improve outcomes
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Hot topic
Novel anticoagulants bring stroke prevention therapy to more people
Dr Stavros Apostolakis (left) and Professor Paulus Kirchhof discuss the latest evidence on the use of novel oral anticoagulants for stroke prevention in non-valvular AF
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