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Editorial articles

November 2003 Br J Cardiol 2003;10:416-7

H.E.A.R.T UK: hyperlipidaemia and the challenges ahead

Julie Foxton, Anthony Wierzbicki, John Reckless

Abstract

The merits of reducing cholesterol to help prevent coronary heart disease (CHD) were questioned 10 years ago. There were great debates about the utility of reducing low-density lipoprotein cholesterol (LDL-C) and it is now clear, following the publication of at least eight different clinical drug trials, that reducing cholesterol with statin drugs helps to reduce total mortality, cardiovascular mortality and morbidity and interventional procedures.

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November 2003 Br J Cardiol 2003;10:414-5

PCCS: critical thinking for times ahead

Fran Sivers

Abstract

The Primary Care Cardiovascular Society (PCCS) has come a long way since a small group of us met in an inauspicious hotel in middle England in the mid 1990s, to discuss the formation of a group through which to develop a network of general practitioners (GPs) with a particular interest in cardiovascular disease and its management.

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November 2003 Br J Cardiol 2003;10:412-3

Department of Health reports NSF key targets are being delivered ahead of schedule

Roger Boyle

Abstract

Ten years ago, England had one of the worst death rates from circulatory diseases in Europe. Today, thanks to the expertise and hard work of thousands of NHS staff, major progress has been made in implementing the National Service Framework (NSF) for Coronary Heart Disease (CHD), and deaths from circulatory diseases are set to be reduced by 40%, three years ahead of the 10-year target set when the NSF was published in March 2000. As a result, we estimate that around 100,000 lives are being saved each year.

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November 2003 Br J Cardiol 2003;10:411

The British Journal of Cardiology celebrates its first 10 years

Kim Fox, Henry Purcell, Philip Poole-Wilson

Abstract

This is the tenth anniversary issue of the British Journal of Cardiology(BJC) and, to mark the occasion, we have invited editorials from medical and nursing groups officially associated with the journal.

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September 2003 Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 63–AIC 65

How can we establish the workforce required to deliver NSF targets for CHD? Experience in the North West of England

Joy Youart, Jan Vaughan, Nick Curzen

Abstract

The ability to deliver increased cardiac services in line with the National Service Framework (NSF) is dependent on a skilled workforce being developed at an unprecedented rate. The numbers of trained staff are at present inadequate, and they will remain so using traditional models of training.

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September 2003 Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 66–AIC 70

Isn’t it time for primary angioplasty in the UK?

Elliot J Smith, Martin T Rothman

Abstract

Thrombolytic therapy remains the predominant reperfusion strategy for ST segment elevation myocardial infarction (STEMI) in the UK, with government policy directed towards optimising thrombolytic delivery. However, the publication of the first Myocardial Infarction National Audit Project (MINAP) report last year informed us that only 28% of hospitals supplying data treated the target 75% of eligible patients inside 30 minutes.

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July 2003 Br J Cardiol 2003;10:251-2

Coronary calcification and coronary artery disease activity: a dilemma unresolved?

Juan-Pablo Kaski, Juan Carlos Kaski

Abstract

The early, non-invasive detection of coronary artery disease is a major challenge confronting contemporary cardiology. In particular, the early identification of vulnerable plaques that may lead to acute coronary syndromes (ACS) poses a major dilemma.

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May 2003 Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 37–AIC 40

Why do we need the CARDia trial?

Akhil Kapur, Kevin J Beatt

Abstract

The Coronary Artery Revascularisation in Diabetes (CARDia) trial is an investigator-initiated study and is the first prospective study designed specifically to address the hypothesis that optimal percutaneous coronary intervention (PCI) with stenting and abciximab is not inferior to up-to-date coronary artery bypass grafting (CABG) as a revascularisation strategy for diabetics with multivessel or complex single vessel coronary disease.

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March 2003 Br J Cardiol (Heart Brain) 2003;10:HB 2–HB 3

Memories are made of this

Philip MW Bath

Abstract

Physicians aiming to prevent vascular disease, either when managing an individual patient or when designing a clinical trial, usually think about reducing the risk of stroke or ischaemic heart disease, or their combination. And, yet, an explosion in numbers of another vascular-related condition is looming, namely in dementia. This first edition of Heart & Brain focuses on dementia in general, and vascular dementia more specifically.

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March 2003 Br J Cardiol 2003;10:91-2

The Coronary Heart Disease Collaborative

Mark Dancy

Abstract

The British Journal of Cardiology begins a series of articles exploring the work of the Coronary Heart Disease Collaborative. This editorial gives a brief introduction to its origins, aims and philosophy for readers not yet involved in its activities.

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