Ambulatory blood pressure monitoring (ABPM) is used widely in secondary care hypertension clinics, so what about its use in the primary care setting, where the majority of hypertension clinics take place? What are the potential benefits of ambulatory monitoring? Which patients should ABPM be used for? In this article we review the nuts and bolts of ABPM – when to use it, how to perform the test to obtain an accurate assessment of 24-hour BP and how to apply the results in clinical practice.
NICE now recommends that 24-hour ambulatory blood pressure monitoring (ABPM) rather than repeat clinic measurements should be the gold-standard test for diagnosing high blood pressure. This article considers the practicalities of using ABPM in the clinic, including advice to pass on to patients to ensure accurate readings.
This useful wallchart gives at-a-glance advice on diagnosis and treatment of high blood pressure in adults, based on the most recent hypertension guidelines from NICE.
The angiotensin -receptor/neprilysin inhibitor Entresto™ (sacubitril/valsartan) is now available in the UK for treatment of adults with symptomatic chronic heart failure with reduced ejection fraction (HFrEF). The drug has been shown to have a significant mortality benefit in a head-to-head trial versus the ACE-inhibitor enalapril with an absolute risk reduction of 4.7%.
It's something that we do so often, but are we always doing it the best way? Check out how to measure blood pressure (BP) correctly, with latest advice from the National Institute for Clinical Excellence and the British Hypertension Society.
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.
Hypertension is the most important single risk factor for cardiovascular disease (CVD). It affects over 25% of adults in England, but more than 5.5 million people remain undiagnosed. Although the number of adults with untreated hypertension has fallen, England’s performance still lags behind achievements in countries such as Canada and the USA, and there is scope for improvement.
The leading UK cardiovascular conference for the whole primary care team. Expert presenters and a down-to-earth approach help health professionals translate the latest evidence into daily practice and optimise patient care. Participants also receive 9 hours CPD credits. Book now to attend this inspirational event. Don't miss out, last few places available