This case describes a 56-year old male with a productive cough and worsening breathlessness who presented to a practice nurse. This case study was part of a Health Assessment module at the University of Surrey. The case study was supervised by a GP.
This case study presents a challenging everyday clinical situation for you to review with guidance from an expert in the field.
Painkillers considered harmless by the general public are associated with increased risk of cardiac arrest, according to recent research.
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.
NHS England has announced that millions of people are to be offered checks for high blood pressure, high cholesterol and atrial fibrillation at GP surgeries and local pharmacies, as part of a drive to prevent heart disease and early deaths.
Cardiovascular disease (CVD) is the leading cause of death worldwide. Elevated blood pressure (BP) is the main global risk factor for premature morbidity and mortality, and the prevalence of hypertensive heart disease is not declining over time. Improved control of high BP is, therefore, fundamental to further prevention of CVD, and adoption of treatment guidelines can have a positive impact on BP-related outcomes.
In general, deaths from cardiovascular disease (CVD) are falling, except for the forgotten CVD, dementia. The rate of dementia is rising year on year and it is now one of the top 5 causes of death in the UK. Risk factors for dementia are similar to other CVDs and risk modification can reduce the risk of development of the condition.
Given that cardiovascular disease (CVD) is responsible for a quarter of all deaths in the UK and is the largest cause of premature mortality in deprived areas, the NHS Long Term Plan recognises that CVD is the single biggest area where the NHS can save lives over the next 10 years.
In the 70 years since the NHS was founded there have indeed been remarkable successes in reducing mortality from common conditions, an important example being deaths due to heart and circulatory disease. Yet the statistics show that there is more to be done to prevent the toll of premature death and years of disability associated with cardiovascular disease (CVD). For this reason, we welcome the continuing focus on CVD prevention as set out in this publication, produced with the support of Public Health England and NHS England.
Cardiovascular disease (CVD) remains a significant cause of disability and death in the UK, and it is one of the conditions most strongly associated with health inequalities. We can help reduce the CVD burden by reminding our patients of the benefits of a healthy lifestyle.