Dr Matt Kearney, the new national clinical director for Cardiovascular Disease Prevention sets out his vision for cardiovascular disease (CVD) prevention in primary care.
A large international study (INTERSTROKE) in 27,000 patients highlights the importance of managing hypertension and other modifiable risk factors in stroke prevention. A total of 90% of the risk of stroke is accounted for by 10 modifiable risk factors.
This article reviews the important and growing role of the NHS Health Check in tackling some of the challenges in prevention and treatment of CVD and other non-communicable diseases.
Professor Mike Kirby examines the evidence for the benefits of the NHS Health Check following a recent editorial casting doubts on the programme. Other emerging evidence suggests that the programme helps to reduce health inequalities and is effective at case finding for major physiological risk factors such as hypertension and diabetes.
The White Paper, Saving lives: our healthier nation (1999), set out a target to reduce the death rate from coronary heart disease and related illnesses such as stroke by 40% in the under-75s by 2010; recent trends indicate that this target will be met. Although the past forty years have seen a significant reduction in age-standardised stroke mortality rates, stroke still accounts for around 53,000 deaths each year in the UK, with more than 9,500 of these occurring in the under-75s. This article reviews how we might reduce the huge burden of stroke by improving the management of transient ischaemic attack (TIA).