Can a value-based approach help deliver the ambitious aims of the NHS cardiovascular disease outcomes strategy?

March 12, 2014

Source: Heart Online First

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Date of publication: March 2014

Publication type: Review

In a nutshell:In this article, the authors suggest a new approach for thinking about the prevention of cardiovascular diseases (CVD). They describe the concept of an integrated circulation service for patients with CVD, and look at the challenges and implications involved. They also examine whether there is any evidence that this outcomes and value-based system would deliver improved outcomes at a reduced cost.

Length of publication: 6 pages

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.


Blood pressure alone not enough to determine heart risk

February 14, 2012

Source: British Heart Foundation

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Date of publication: January 2012

Publication type: News item

In a nutshell: A meta-analysis published in the Lancet has shown that a difference in systolic blood pressure of 15mm Hg between the left and the right arm indicated an increased risk of peripheral vascular disease. More research is needed to assess whether measuring blood pressure on both arms to assess vascular disease risk should become standard practice.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement: The Lancet


Calls for 24-hour blood pressure monitoring

September 12, 2011

Source: National Institute for Health and Clinical Excellence

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Date of publication: August 2011

Publication type: News item

In a nutshell: NICE is now recommending that hypertension should be diagnosed using ambulatory blood pressure monitoring (ABPM) over a 24 hour period. ABPM involves a mobile blood pressure monitor that straps around the patient’s waist and measures blood pressure numerous times over 24 hours. This is a change to the existing guidelines.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.


Why not screen for subclinical atherosclerosis?

September 11, 2011

Source: The Lancet, 2011, 378 (9792) p. 645-646

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Date of publication: August 2011

Publication type: Commentary

In a nutshell: Two clinicians recommend a change in practice for the primary prevention of atherosclerotic cardiovascular disease. They propose that non-invasive tests for subclinical atherosclerosis should be implemented.

Length of publication: 2 pages

Some important notes: You will need an NHS Athens username and password to access this article. Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.