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Editorial articles

July 2005 Br J Cardiol 2005;12:249-53

Fat and visceral fat: time for cardiologists to act against obesity

Michael EJ Lean, Thang S Han

Abstract

Health risk is not synonymous with obesity and
obesity is not synonymous with visceral fat.
Obesity is now recognised by governments, and
importantly in medical training, as a chronic disease
leading to multiple organ-specific pathologies
(including metabolic syndrome and coronary heart disease).

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May 2005 Br J Cardiol 2005;12:175-8

Prevention of heart failure: further insight from B-type natriuretic peptide

Mark Ledwidge, Ken McDonald

Abstract

Major advances have been made in the management
of heart failure (HF) over recent years. Modern day
pharmacotherapy and device-based therapy have
brought about significant improvements in prognosis
and a reduction in morbidity.

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May 2005 Br J Cardiol 2005;12:171-2

Sleep-disordered breathing in congestive heart failure: an opportunity missed?

Liam J Cormican, Adrian Williams

Abstract

The review by Vazir and colleagues in this issue of the journal
(see pages 219–23) comes as a timely and practical
update on the implications, diagnosis and treatment of
sleep-disordered breathing (SDB) in congestive heart failure (CHF).

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May 2005 Br J Cardiol 2005;12:167-8

Cardiac services in the UK: are some areas more equal than others?

Nicholas Brooks

Abstract

The Department of Health has supported the standards
and targets set in the National Service Framework (NSF)
for coronary heart disease (CHD) with a programme of
investment and reorganisation.

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March 2005 Br J Cardiol (Acute Interv Cardiol) 2005;12:AIC 5–AIC 7

Interventional cardiology training in the UK: time for a change?

Nick Curzen

Abstract

The current specialist registrar (SpR) training system in the UK is necessarily built on the foundation of general training in cardiology. The acquisition of skills in subspecialties such as intervention, electrophysiology and echocardiography is arranged informally and locally.

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March 2005 Br J Cardiol 2005;12:85-9

Living with chest pain

Richard A Best

Abstract

Doctors are encouraged to follow evidence-based
guidelines in the assessment and management of
chest pain. Sometimes following these guidelines
conflicts with clinical experience and even common sense,
as is shown by the contrasting approaches (and outcomes)
to this case .

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January 2005 Br J Cardiol 2005;12:5-7

Towards sensible eating, how far do we have to go?

Anne Nugent

Abstract

Every day we are bombarded with media headlines and
news stories about obesity, physical inactivity, faddy
diets and ‘miracle’ foods.But how far do we need to go
before we adopt a balanced approach to eating? And what
is our current nutritional status: is it possible to be overweight
yet still have suboptimal nutritional status, particularly with
respect to vitamins and minerals?

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January 2005 Br J Cardiol 2005;12:9-10

ARBITER-2: judging the next step in lipid management

Anthony S Wierzbicki

Abstract

Statin therapy is established as the basis of lipid-lowering
therapy in all patients with established atherosclerotic
disease.1 However, statin trials show that 50–70% of
cardiovascular events cannot be prevented by statins alone.2,3
This raises the question about the next step that should be
taken to prevent further events in high-risk patients already
on a statin.ITED

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November 2004 Br J Cardiol 2004;11:449-54

Statin safety in perspective – maximising the risk:benefit

Marc Evans

Abstract

Statins are prescribed worldwide for patients with coronary heart disease (CHD) and also for those at risk of developing atherosclerotic vascular disease. They represent a valuable treatment option for managing lipid levels. However, the well-publicised withdrawal of cerivastatin (Baycol®, Bayer) in 2001 led to concern and much subsequent discussion over the safety of statins. This review looks at the evidence in relation to the benefits and risks of statins and demonstrates that the benefits of statins far outweigh the risks.

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November 2004 Br J Cardiol 2004;11:425-6

Surgical delusions

David P Taggart, David W Pigott

Abstract

Over the last decade improvements in the anaesthetic,
medical and surgical management of patients
undergoing coronary artery bypass grafting
(CABG), along with refinements in cardiopulmonary bypass,
have resulted in better clinical outcomes.

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