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July 2006 Br J Cardiol 2006;13:254-5

Our mission: to boldly state…

We continue our series in which Consultant Interventionist Dr Michael Norell takes a sideways look at life in the cath lab...and beyond. In this column, he dissects the 21st century obsession with corporate rationale....

May 2006 Br J Cardiol 2006;13:169

News

NICE issues guidance on smoking cessation and physical activity World Heart Day to focus on diet and exercise for a ‘young’ heart...

May 2006 Br J Cardiol 2006;13:174-6 Meeting report

The American Society of Hypertension 21st Annual Scientific Meeting

The 21st Annual Scientific Meeting of the American Society of Hypertension (ASH) was held in New York, US from May 16th-20th, 2006. Dr Martin Godfrey reports some of the meeting highlights, which included results from a study looking at the role of the renin-angiotensin system in atherosclerosis development and another which looked at the first orally active agent to block renin....

March 2006 Br J Cardiol 2006;13:90-8 Meeting report

American College of Cardiology 55th Annual Scientific Session

The ASTEROID trial, which showed regression of atherosclerosis by reducing low-density lipoprotein cholesterol to new lows and simultaneously improving high-density lipoprotein cholesterol, was one of the highlights of this year's American College of Cardiology meeting held in Atlanta, Georgia, US, on March 11–14th 2006. Other successes included two new antithrombotic regimens that improved outcomes compared with unfractionated heparin in ST-elevation myocardial infarction patients, while clopidogrel showed disappointing results in a large study of primary/secondary prevention....

March 2006 Br J Cardiol 2006;13:110-11

This sporting life

We continue our series in which Consultant Interventionist Dr Michael Norell takes a sideways look at life in the cath lab...and beyond. In this column, he examines the similarities between the cath lab and televised popular sports....

January 2006 Br J Cardiol 2006;13:21-2

Have they got your number?

We continue our series where Consultant Interventionist Dr Michael Norell takes a sideways look at life in the cath lab ..... and beyond. In this column, he looks at how cardiologists can personalise their cars....

November 2005 Br J Cardiol 2005;12:441

Progress in cardiology in northern England?

Patients attending cardiology clinics, particularly those with chronic heart failure (CHF), frequently have co-morbidities and attend other hospital medical clinics. We examined the case notes of 162 patients attending two cardiology clinics. Many patients’ notes extended to more than one volume (20%). Patients with CHF were more likely to require rubber bands to maintain control of their notes than other cardiac patients. Despite efforts to move to a paperless record keeping system, rubber bands still play a major role in the NHS....

July 2005 Br J Cardiol 2005;12:268-9

New analysis of LIFE trial shows reduction of new-onset atrial fibrillation with losartan

A new analysis of the LIFE study has shown that losartan can reduce new-onset atrial fibrillation in hypertensive patients with left ventricular hypertrophy. General practitioner Brian Crichton summarises this new analysis and explains how losartan might achieve these effects....

May 2005 Br J Cardiol 2005;12:192-8

National variations in the provision of cardiac services in the United Kingdom

We publish in full this report by a working group of the British Cardiac Society which shows large disparities in cardiac services between England, Scotland, Wales and Northern Ireland....

March 2005 Br J Cardiol 2005;12:142-4

Current ECG telemetry practice in the UK: a national audit

Electrocardiographic monitoring by telemetry has become commonplace throughout the UK. This survey was designed to assess its availability, to determine current practice and so to inform future recommendations for optimal telemetry working practice. Data were collected via postal questionnaire followed by telephone contact. Questionnaires were completed by 280 (99.3%) of the 282 coronary care units (CCUs) contacted. Telemetry is now widely available, with 77.3% of CCUs offering a service, though practice varies widely from unit to unit. Only 15% of telemetry services were supported by written protocols, telemetry duration was routinely set in only 17.4% and interrogation was haphazard, with fewer than 27.2% of units investigating each symptomatic event. Overall responsibility for the service was unclear, and routine medical input occurred in only 48.6% of services. The task of telemetry monitoring was delegated to relatively junior CCU nursing staff (94% D/E grade). Verbal information was commonly given to patients, but written information was very rare (2.75%). Some 70% obtained no formal patient consent (written or verbal) prior to commencing telemetry. Nonetheless, CCU staff felt strongly that the service was valuable and affected patient care positively. UK telemetry practice is haphazard, variable and poorly supported by adequate protocols. The potential for missing arrhythmias and/or for mismanaging them is evident, making a strong case for practice guidelines defining the responsibilities of staff involved, identifying best practice and outlining supportive educational requirements....

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