Myocardial infarction
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Implementing guidelinesCardiac arrhythmia: risk factors for heart disease need to be addressed
Dr Alan Begg summarises recommendations in SIGN’s latest guidance on cardiac arrhythmias that are relevant to primary care and highlights some major advances in treatment
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Implementing guidelines
SIGN updates guidance on diagnosis and management of ACS
Dr Alan Begg summarises SIGN recommendations for the immediate assessment, management, and discharge arrangements for people with acute coronary syndrome
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Personal view
Prompt treatment is crucial in management of acute STEMI
Primary percutaneous coronary intervention for STEMI improves outcomes if it can be delivered in time, says Dr Alan Begg
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GMS contract
CHD indicators provide more detail on treatment of MI
Dr Alan Begg discusses the revised quality and outcomes framework indicators for coronary heart disease and how national guidance relates to these targets
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Implementing guidelines
Patients with unstable angina and NSTEMI should be risk stratified
Dr Mark de Belder discusses the NICE recommendations on the roles of antiplatelet and anticoagulant therapy in the management of acute coronary syndromes
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Implementing guidelines
NICE post-MI guideline provides a framework for primary care
Dr Rajiv Rampat (left) and Professor Adam Timmis discuss the lifestyle and drug treatment recommendations on secondary prevention following a myocardial infarction
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Personal view
Prasugrel recommended for acute coronary syndrome
Dr Alan Begg discusses national guidance and trial data on the use of antiplatelet therapies for treating acute coronary syndrome
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Personal view
SEAS trial and cancer risk: should prescribing change?
At present, there is a lack of credible evidence linking the use of ezetimibe plus statin therapy to cancer incidence, says Dr Alan Begg
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Good practice initiative
Pathway to success: completing the cycle of cardiac rehabilitation
Joint runner up in our Awards, the team from an LHCC in Lanarkshire describe how they have helped develop a seamless journey for patients post-MI
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Good practice initiative
CHD audit will help improve care for patients following MI
Good data collection is important in ensuring that audit results are translated into improved care for patients, as Dr Nigel Watson explains
