November 2004 Br J Cardiol 2004;11:421-3
Michael D Feher
A recent report in the British Medical Journal has
suggested that the incidence of myocardial infarctions
has only plateaued with the rise in statin prescriptions (BMJ 2004;329:645).
Although this observation does need to be interpreted with caution,
there may be several reasons for this.
November 2004 Br J Cardiol (Acute Interv Cardiol) 2004;11:AIC 77–AIC 79
Paul Diprose, Ravi Gill
Recombinant factor VIIa (rFVIIa, Novoseven®, Novo
Nordisk®, Denmark) is established for the management
of bleeding episodes in haemophiliac patients with inhibitors.
Interest has been growing in the use of this drug
for the management of severe intractable bleeding following
major trauma and surgery.
September 2004 Br J Cardiol 2004;11:347-9
Vahini V Naidoo
Implementation of new evidence-based guidelines is one of
the most daunting tasks facing healthcare professionals
today, and in order to meet this challenge we need to be
well informed and to inform our patients.
September 2004 Br J Cardiol 2004;11:343-5
Paul R Kalra
Although studies from two decades ago documented
the association of low haemoglobin with chronic
heart failure (CHF), the potential for an important
pathophysiological link has largely been ignored until recently.
In 2000 Silverberg and colleagues reported on a cohort of
patients (n=142) attending a specialist nephro-cardiology clinic.
1 Anaemia (haemoglobin < 12 g/dL) was present in over half the patients and was associated with symptom severity.
September 2004 Br J Cardiol 2004;11:339-41
The pharmacological treatment of patients with chronic
heart failure has changed dramatically over the past 25
years. This change began with the demonstration of
the beneficial effects of the combination of hydralazine and
isosorbide dinitrate in the V-HeFT-I (Veterans Administration
Co-operative Study) trial.
July 2004 Br J Cardiol (Acute Interv Cardiol) 2004;11:AIC 35–AIC 37
Nicholas MK Robinson
The benefits of transradial coronary intervention (TRI)
over transfemoral (TFI) are becoming increasingly
recognised. In the United Kingdom, an increasing
number of interventions are being performed by the radial
approach and courses supporting this approach are now well
July 2004 Br J Cardiol (Acute Interv Cardiol) 2004;11:AIC 38–AIC 40
Arun Natarajan, Scott A Gall, Azfar Zaman
The success of the 3-hydroxy-3-methylglutaryl-coenzyme
A reductase inhibitors (statins) in ameliorating
atherothrombotic events is firmly established. Large
randomised controlled clinical trials have consistently (and
unequivocally) demonstrated a beneficial role in reducing
coronary events and total mortality in patients with advanced
coronary artery disease (CAD).
July 2004 Br J Cardiol 2004;11:261-2
Violet R Henry, Sharon Smart, Salma Akram, Katherine McGrath, Ian Wright, Sophie Blackman, Nicholas S Peters
Most treatments administered to patients act to relieve symptoms. But in the name of saving life,
having an implanted cardioverter defibrillator (ICD) leaves the patient prone to unpredictable episodes of
symptoms including collapse, and abrupt and explosive chest pain, of which the informed patient may live in
May 2004 Br J Cardiol 2004;11:175-8
Despite many attempts at reform, there has been a persistent
shortfall in the number of consultant cardiologists.
As long ago as 1985, the conservative recommendation
was made that each general hospital should have
at least one physician, practising general medicine but
having a special expertise and training in cardiology.
March 2004 Br J Cardiol 2004;11:93
Statins are currently provided at NHS expense for patients
with coronary heart disease (CHD), diabetes and those
whose coronary risk is greater than 3% per year.