CARDIOVASCULAR HORIZON SCANNING VOLUME 2 ISSUE 1

February 10, 2010

Defining and setting national goals for cardiovascular health promotion and disease reduction

February 10, 2010

Source: Circulation, 2010, 121 (4) p. 586-613

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Date of publication: February 2010

Publication type: Report

In a nutshell: Recommendations of the Goals and Metrics Committee of the Strategic Planning Task Force of the American Heart Association (AHA). This committee has determined the metrics needed to monitor cardiovascular health over time, and recommends goals for further reductions in cardiovascular disease and stroke mortality. Its Impact Goals are: ‘By 2020, to improve the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20%’. These goals will require new strategic directions from the AHA in its research, clinical, public health and advocacy programmes for cardiovascular health promotion and disease prevention in the next decade and beyond.

Length of publication: 28 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.

Acknowledgement: American Heart Association


Home based versus centre based cardiac rehabilitation

February 10, 2010

Source: BMJ, 2010, 340 (7740) p. 249

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Date of publication: January, 2010

Publication type: Systematic review

In a nutshell: Twelve studies with a total of 1938 participants were included in this Cochrane systematic review and meta-analysis. No difference was seen in terms of mortality and other factors but there was evidence of superior adherence in the home-based participants. No consistent difference was seen in the healthcare costs of the two forms of cardiac rehabilitation. Both were found to be equally effective in improving clinical and health-related quality of life outcomes. This finding supports the further provision of evidence-based, home-based cardiac rehabilitation. However, the choice of home-based or centre-based rehabilitation should reflect the preference of the individual patient.

Length of publication: 15 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.


Improvement of primary care for patients with chronic heart failure

February 10, 2010

Source: BMC Health Services Research, 2010, 10 (8)

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Date of publication: January, 2010

Publication type: Research

In a nutshell: A pilot study was undertaken in 19 general practices in the Netherlands, involving 15 GPs and 77 patients with chronic heart failure (CHF). A programme for improving primary care for patients with CHF was delivered by a trained practice visitor and consisted of educational and organisational components. The impact and feasibility of the programme was evaluated on the basis of patient registration forms completed by the health professionals and telephone interviews. Results showed that the improvement programme had a moderate impact on patient care, but a larger study was recommended, using modifications based on the pilot study.

Length of publication: 23 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.

Acknowledgement: BioMed Central


Comparison of mass and targeted screening strategies for cardiovascular risk

February 10, 2010

Source: Heart, 2010, 96 (3), p. 208-212

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Date of publication: February, 2010

Publication type: Journal article

In a nutshell: The Scottish Health Survey provided data on 3921 asymtomatic individuals between 40 and 74 years old. Five screening strategies were evaluated for their effectiveness and cost-effectiveness in cardiovascular primary prevention. It was found that targeted screening was less costly than mass screening, and could identify up to 84% of high-risk individuals.

Length of publication: 6 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.


Healthy hearts and minds Westminster

February 9, 2010

Source: NHS Westminster

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Date of publication: 30th January 2010

Publication type: Press release

In a nutshell: Lord Darzi has unveiled England’s biggest cardiovascular disease prevention programme. This is a collaboration between NHS Westminster, Imperial College Healthcare NHS Trust, MyAction and Central West London Community Services. Initiatives include Vascular Risk Assessment, the innovative nurse-led multi-disciplinary MyAction prevention programme, and Community Cardiac Teams.

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: Cardiac Rehab UK, issue 16, January 2010, p 7


Gardening for hearts and minds

February 9, 2010

Source: Cardiac Rehab UK, issue 16, January 2010

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Date of publication: January 2010

Publication type: News item

In a nutshell: This reports on the successful outcomes of the Just 30! project, which encourages people, through just 30 minutes gardening a day, to self-manage their health. Workshops for professionals have been delivered across England. A highly practical guide has been distributed by Thrive.

Length of publication: 1 page

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: British Heart Foundation; Thrive