September 2017 Br J Cardiol 2017;24(suppl 1):S16–S20 doi:10.5837/bjc.2017.s03
Terry McCormack, Joe Mills
Abstract
Introduction
In 1988 the ISIS-2 (Second International Study of Infarct Survival) study brought about a sea change in the management of the patient suffering a myocardial infarction (MI) and, in particular, those who had ST-elevation (STEMI) changes on their electrocardiogram (ECG).1 Prior to that landmark trial, general practitioners (GPs) were much more involved in the care of patients suffering MIs. They had to decide with what urgency the patient had to be admitted, or even if they would be admitted at all, in the light of how little could be done for the patient in hospital. The care provided has improved since then to the point that the
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July 2009 Br J Cardiol 2009;16:187–91
Fran Sivers, Alan Begg, David Milne, Jonathan Morrell, Dermot Neely, Michael Norton, Michaela Nuttall, Malcolm Walker, Brian Ellis, Cathy Ratcliffe, Andrew Thomas, Ruth Bosworth, Seleen Ong, on behalf of the Follow Your Heart Steering Group
Abstract
Introduction
Coronary heart disease (CHD) remains the leading cause of mortality in the UK with over 94,000 attributable deaths in 2006,1 the majority of which were the result of a myocardial infarction (MI). Approximately half of those who suffer an MI die within 28 days,2 however, with modern technology, procedures and new drugs, increasing numbers survive a heart attack, resulting in 1.4 million post-MI survivors in the UK.3 If patients do not receive optimal post-MI care, the individual and socio-economic burden is significant. In monetary terms this is estimated to be around £9 billion per year when both direct and indirect costs are in
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May 2009 Br J Cardiol 2009;16:142–6
Seleen Ong, David Milne, Jonathan Morrell, on behalf of the Follow Your Heart Steering Committee
Abstract
Introduction
Clinical guidelines are becoming an increasingly important component of clinical practice across Europe as governments, while facing spiralling healthcare costs, still have to maintain an overriding commitment to their citizens to provide best possible medical care. As systematically developed statements that incorporate research evidence and expert consensus views, clinical guidelines represent a means of assisting practitioners and patients on decisions about appropriate healthcare for specific circumstances.1 Adherence to clinical guidelines, thus, will help to reduce practice variation, raise standards of care, improve effici
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March 2006 Br J Cardiol 2006;13:154-6
Shirley Russell, Michael Kirby
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May 2003 Br J Cardiol 2003;10:169-71
Celine Adams
Abstract
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November 2002 Br J Cardiol 2002;9:609-10
Derek M Yellon, Derek Hausenloy
Abstract
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