Cardiovascular Horizon Scanning Volume 1 Issue 4

May 14, 2009

Managing the end-game: palliative care for advanced heart failure

May 11, 2009

Source:   NHS Improvement: Heart Improvement ebulletin 112,  5 May 2009

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Date of publication:  2009

Publication type:  Journal article

In a nutshell:  Article by Dr James Beattie and Michael Connelly, Heart Improvement National Clinical Leads, recently published in Cardiology News.

Length of publication:  2 pages

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Four inches of fat on waistline increases risk of heart problems

May 11, 2009

Source: Daily Telegraph

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Date of publication: 7 April 2009

Publication type:  News item

In a nutshell:  Reports on the results of two Swedish studies, involving over 80,000 participants, age 45 – 83 years,  over a 7 year period. Even with normal BMI, people with an increased waist measurement of four inches had a 15% increase in risk of suffering heart failure.

Length of publication:  1 page

Acknowledgement:  National Heart Forum weekly e-news briefing 8.4.09

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Cardiovascular risk estimation and eligibility for statins in primary prevention comparing different strategies

May 10, 2009

Source: American Journal of Cardiology, 2009, 103 (8) p. 1089-1095

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Date of publication: April, 2009

Publication type: Journal article

In a nutshell: Risk of coronary heart disease and eligibilty for statins were assessed in a population-based study of patients without cardiovascular disease. Guidelines from various European associations were used, and the results were compared.

Length of publication: 7 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.

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A convenient tool to profile patients for generalized cardiovascular disease risk in primary care

May 10, 2009

Source: American Journal of Cardiology, 2009, 103 (8) p. 1174-1177

Follow this link for the abstract

Date of publication: April, 2009

Publication type: Editorial

In a nutshell: Various risk-scoring models have been developed for screening patients at high risk of coronary artery disease. Despite their accurate identification of patients with increased risk factors, these models are not always adopted within primary care clinics due to a reluctance on the part of medical staff. One model is promoted in this editorial as a particularly effective risk assessment device.

Length of publication: 4 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.

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Transition toward a nurse practitioner-managed clinic

May 8, 2009

Source: Journal of Cardiovascular Nursing, 2009, 24 (2) p.132-139

Follow this link for the abstract

Date of publication: March, 2009

Publication type: Journal article

In a nutshell: In the last five years, the Cleveland Clinic Preventive Cardiology and Rehabilitation Program has progressed from physician-based healthcare to management by advanced practice nurses, with considerable success. A survey of patients demonstrated satisfaction with the service, and laboratory results showed an improvement. The use of nurse practitioner-led clinics are an efficient and cost-effective way to provide cardiovascular risk reduction.

Length of publication: 8 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.

Acknowledgement: PubMed

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Electronic health record-based cardiac risk assessment and identification of unmet preventive needs

May 8, 2009

Source: Medical Care, 2009, 47 (4) p. 418-424

Follow this link for the abstract

Date of publication: April, 2009

Publication type: Journal article

In a nutshell: Electronic health record-based assessment, in addition to manual assessment by a physician, was performed retrospectively on a study of American adults. The two sets of results were compared and found to be similar. Since the automated risk assessment accurately identified candidates in need of therapy, it could be used to improve detection rates of high-risk patients.

Length of publication: 7 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.

Acknowledgement: PubMed

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