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Tag Archives: primary care

July 2008 Br J Cardiol 2008;15:199-204–6

Cost-consequences analysis of natriuretic peptide assays to refute symptomatic heart failure in primary care

Michael A Scott, Christopher P Price, Martin R Cowie, Martin J Buxton

Abstract

Introduction Heart failure is a serious syndrome accounting for around 4% of UK general practitioner (GP) consultations in patients over 45 years.1 Diagnosis is complex with frequent co-existing symptoms; misdiagnosis may lead to inappropriate treatment and inefficient use of scarce healthcare resources.2 The National Institute for Health and Clinical Excellence (NICE) guidelines for chronic heart failure state that the 12-lead electrocardiogram (ECG) and/or natriuretic peptides tests (where available) may be used to help exclude heart failure.3 Abnormal ECGs are usually observed in heart failure cases, although in one study, around 20% of pa

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January 2008 Br J Cardiol 2008;15:6

Primary care heart failure services

Jim Moore

Abstract

Setting an example The primary care-based heart failure service in Gloucestershire is now four years old and has promising data from its 2006 audit. The audit comprises data from all patients (n=524) with left ventricular systolic dysfunction managed by the service throughout 2006. Results showed all-cause mortality in this high-risk group of only 8.2%, with half of these patients dying at home. In the group of patients who had died during 2006, almost one third had previously discussed and indicated the place they wished to be cared for during the final phase of their illness, with the vast majority opting for home. In over 70% of these case

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September 2007 Br J Cardiol 2007;14:221-28

Chronic kidney disease in primary care

Juliet Usher-Smith, Andy Young, Simon Chatfield, Mike Kirby

Abstract

Introduction Chronic kidney disease (CKD) is an independent risk factor for cardiovascular disease.1 Almost half of all deaths in patients with CKD are caused by cardiovascular events2 and, in diabetic subjects, mortality increases significantly with reduced kidney function.3 As part of the National Service Framework for Renal Services, CKD was added in February 2006 to the Quality and Outcomes Framework (QOF) for primary care in the UK. Within this, up to 27 points can be earned for the production of a register of patients with stage 3–5 CKD and the appropriate monitoring and treatment of hypertension and prescription of angiotensin-conver

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March 2007 Br J Cardiol 2007;14:117-119

Audit of the new GMS contract Quality and Outcomes Framework: raising standards in CHD

Janet McCarlie, Elisabet Reid, Adrian JB Brady

Abstract

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January 2007 Br J Cardiol 2007;14:51-55

A pilot study on computer-based opportunistic screening for coronary heart disease: universal assessment and education in primary care

Peter F Tyerman, Gill V Tyerman, Ruth Bacigalupo

Abstract

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May 2006 Br J Cardiol 2006;13:220-4

Anxiety, depression and myocardial infarction: a survey of their impact on consultation rates before and after an acute primary episode

Everard W Thornton, Peter Bundred, Michelle Tytherleigh, Ann DM Davies

Abstract

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March 2006 Br J Cardiol 2006;13:145-52

The ‘rule of halves’ still applies to the management of cholesterol in cardiovascular disease: 2002–2005

Simon de Lusignan, Nigel Hague, Jonathan Belsey, Neil Dhoul, Jeremy van Vlymen

Abstract

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May 2005 Br J Cardiol 2005;12:240-3

Heart failure management in primary care – the story so far

Sarah Jarvis

Abstract

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September 2004 Br J Cardiol 2004;11:408-12

Beta blocker therapy for patients with heart failure in primary care

David Wald, Sarah Milne, Richard Chinn, Margaret Martin, Ranjit More

Abstract

No content available

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