Nice | Acute heart failure

This is a new guideline from NICE on Acute Heart Failure. This is really aimed at secondary care and does not add anything to what we would routinely do in general practice. One thing to remember is t...

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Nice | Atrial fibrillation

This is the updated guideline from NICE on atrial fibrillation. This guideline is very different overall to the last guideline, but it probably doesn't contain anything radical if you've been to any A...

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Nice | MI secondary prevention

This guideline from Nice, updates the advice regarding the secondary prevention of MI. Much of the guidance is the same. The biggest change is regarding the use of antithrombotics. I have summarised s...

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Acute Coronary Syndrome

This guideline from SIGN has been updated. There are a couple of interesting points in it that I was not aware of: Patients should be advised to take GTN at the start of angina pain, then up to 3 tim...

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Apixaban in Atrial Fibrillation

This guidance is another new drug for the use in AF as an anticoagulant. It is a Factor Xa inhibitor and is more effective than warfarin. It hasn’t been shown to be more effective than Rivaroxaban and...

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WatchBP Home A Device

This guideline advises that the WatchBP Home A Device is cost-effective. It is a blood pressure machine that can detect an irregular pulse. It is fairly sensitive and specific for AF. Any positive res...

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Ivabradine in Heart Failure

This guidance is about using ivabradine in heart failure. It will only be started by specialist nurses, cardiologists, or GPSIs, but we will be responsible for continuing it, so it is worth knowing wh...

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Rivaroxaban in atrial fibrillation

This guideline is for Rivaroxaban, which is a Factor Xa inhibitor and has been approved for use in patients with nonvalvular AF and at least one of the following risk factors (which equates to a CHADS...

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Dabigatran in atrial fibrillation

This guideline lays out the criteria for the use of Dabigatran, a thrombin inhibitor. It can be considered as an alternative to warfarin in non-valvular AF if at least one of the following applies: P...

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Bye-bye to bendrofluazide

This is a must read guideline! The main changes are: using Ambulatory Blood pressure monitoring (ABPM) to diagnose hypertension, using different cut off levels for treatment in the over 80s, using cal...

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Stable angina

Overall, the main treatment of stable angina is not changed. What advice should you give patients with angina? Pacing activities and physical exertion – including sexual activity Prognosis and the li...

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