Despite good evidence that physical activity is effective in preventing health complications, less than half of adults meet the minimum recommendations for physical activity. This article reviews the use and value of high-intensity interval exercise (short bursts of exercise) in different groups to reduce the risk of long-term conditions.
Cardiovascular disease (CVD) remains a national priority and primary care has a pivotal role in successfully addressing this urgent issue. This was the key message of Issues & Answers in Cardiovascular Disease 2015 conference, which participants and faculty said was the 'most successful' in the series to date.
The World Health Organization recognises that 80% of CHD could be prevented by positive lifestyle changes. Healthcare professionals should encourage and support patients to quit smoking, increase physical activity, and make positive dietary and lifestyle changes to help better manage their heart health.
Chronic kidney disease (CKD) is the term used to describe long-lasting abnormal kidney function and/or structure. It is common and often exists together with other conditions like cardiovascular disease (CVD) and diabetes. CKD is an essential diagnosis because treatment can reduce the risk of CVD and prevent or slow progression to kidney failure. This is your briefing on important NICE guideline changes that will help us to better identify at-risk patients while making over-diagnosis less likely.
Heart failure is a complex clinical syndrome, characterised by symptoms including breathlessness, fatigue, reduced exercise tolerance and fluid retention. Signs and
symptoms may be non-specific or difficult to elicit, and some primary healthcare professionals continue to lack confidence in their ability to identify patients with HF.
A systematic approach to history-taking, examination and referral aims to help improve the accuracy of the diagnosis and ensure that HF patients are referred for specialist assessment and receive evidence-based therapies.
GPs and practice nurses face many challenges when diagnosing and managing heart failure. This comprehensive supplement reviews all aspects of chronic and acute HF, from epidemiology, through diagnosis, lifestyle interventions, pharmacological and device therapies to implementation of current guidelines.
Heart failure is an important public health problem that is associated with significant morbidity, mortality and healthcare costs, especially in the over-65s. Despite reductions in HF-related mortality, hospitalisations remain frequent and readmissions continue to rise. It is these admissions to hospital that put a financial strain on the local health economy, and cause stress and anxiety for the patient and supporting family.
Evidence-based guidelines offer many options to improve and extend the lives of patients with heart failure (HF). This article reviews current best practice in the management of chronic HF and of acute decompensated HF, and considers recent insights, controversies and innovations in this important field.