This month’s Back to Basics summarizes the main features of the key direct oral anticoagulants (DOACs or NOACS). These drugs are becoming a standard therapy in many settings including stroke prevention, management of deep vein thrombosis and pulmonary embolism, and prevention of venous thromboembolism following hip and knee replacement.
An educational workshop at the 2017 Issues & Answers conference highlighted heart valve disease and the important role of primary care in its effective management. Across the UK approximately 1.5 million people >65 years are currently affected by the disease numbers predicted to more than double to 3.3 million by 2056.
This month’s Back to Basics feature is a patient information card that is included in the 2018 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation. The card can be folded into pocket size and is crucial both for the patient and for healthcare providers. The EHRA states that this generic and universal card can serve all patients under NOAC therapy.
This month’s Back to Basics feature is a useful wallchart showing estimates of alcohol content and calorie counts of typical alcoholic drinks. Many people forget the considerable calorific content of drinks and are unaware of how much pure alcohol they are consuming. Having these facts to hand are useful for the patients we see in practice and for our own healthy living!
Many newer drug classes are available to healthcare professionals for the management of type 2 diabetes. This month’s Back to Basics feature is a useful wallchart showing the targets for oral type 2 diabetes medications in the liver, gut, pancreas, kidney and muscle/adipose tissue.
This NHS Health Check overview shows the target age groups and risk factors assessed during the process. All these details should be recorded on the primary care record. The overview highlights the risk assessment, lifestyle management, clinical assessment and risk management processes involved in the NHS Health Check.
Cardiovascular disease is a much more preventable issue than many healthcare professionals realise. Medical advances, together with reduced premature mortality from CVD and increased life expectancy, means that on top of the demands of an ageing population we are also living ‘less-well’ for longer, and creating a different kind of pressure on services.
The recent British Society for Heart Failure meeting included presentations from some of the UK’s leading experts in HF. This report focuses on some of the topics that will be useful to professionals in primary care with an interest in HF management.
The concept of primary prevention of cardiovascular disease is certainly not new, and although much work has been done, there appears to be a drive to think differently about the way in which such initiatives are delivered. The workplace offers a convenient alternative environment to the conventional health care setting where employees can receive health and well-being services, including health checks and educational sessions.