Psychological interventions for coronary heart disease

May 18, 2017

Source: Cochrane Library

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Date of publication: April 2017

Publication type: Review

In a nutshell: This updated Cochrane Review found that for people with CHD, there was no evidence that psychological treatments had an effect on total mortality, the risk of revascularisation procedures, or on the rate of non-fatal MI, although the rate of cardiac mortality was reduced and psychological symptoms (depression, anxiety, or stress) were alleviated; however, the GRADE assessments suggest considerable uncertainty surrounding these effects. Considerable uncertainty also remains regarding the people who would benefit most from treatment (i.e. people with or without psychological disorders at baseline) and the specific components of successful interventions. Future large-scale trials testing the effectiveness of psychological therapies are required due to the uncertainty within the evidence. Future trials would benefit from testing the impact of specific (rather than multifactorial) psychological interventions for participants with CHD, and testing the targeting of interventions on different populations (i.e. people with CHD, with or without psychopathologies).

Length of publication: 177 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:  Cochrane Library                

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Heart disease warning factors ‘missed by many adults’

October 10, 2014

Source: BBC News

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Date of publication: September 2014

Publication type: News item

In a nutshell: The British Heart Foundation has commissioned a survey which has found that only 2% of people are worried about coronary heart disease whereas a third of people were concerned about dementia or cancer. One in ten adults surveyed said they didn’t know how to look after their hearts.

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.


Secondary prevention of atherosclerotic cardiovascular disease in older adults

December 16, 2013

Source: Circulation, 2013, 128 (22), p.2422-2446

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Date of publication: November 2013

Publication type: Best practice

In a nutshell: This scientific statement published by the American Heart Association gives an overview of Coronary Heart Disease (CHD) in older adults, and discusses areas such as hypertension management, psychosocial issues and lifestyle therapy.

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


Four in one polypill halves predicted cardiovascular risk

June 9, 2011

Source: BMJ, 2011, 342 (7809) p. 1229

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Date of publication: June 2011

Publication type: News item

In a nutshell: A randomised study of 378 people who took a 12-week treatment of the polypill has led researchers to calculate that long-term use would reduce the risk of coronary heart disease and ischaemic stroke by approximately 60%. Larger trials are now needed to test whether the combination of medicines in a polypill improves patient adherence.

Length of publication: 1 page

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.