{"title":"Aspirin in patients with and without diabetes","authors":"A. Begg","doi":"10.3132/PCCJ.2009.014","DOIUrl":"https://doi.org/10.3132/PCCJ.2009.014","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116991438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A typical case of end-stage heart failure","authors":"A. Fuat","doi":"10.3132/PCCJ.2008.007","DOIUrl":"https://doi.org/10.3132/PCCJ.2008.007","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123559622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CKD as part of integrated management of vascular risk","authors":"D. O'Donoghue","doi":"10.3132/PCCJ.2009.025","DOIUrl":"https://doi.org/10.3132/PCCJ.2009.025","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123678640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"If at first you dont succeed, try, try again!","authors":"Michael X. Kirby","doi":"10.3132/PCCJ.2010.007","DOIUrl":"https://doi.org/10.3132/PCCJ.2010.007","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124072795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
subjects (> 120% ideal body weight) randomised primarily to metformin, there was a substantial risk reduction for MI (39%, p=0.01) and all-cause mortality (36%, p=0.011). The blood pressure control part of the UKPDS, known as the Hypertension in Diabetes Study (HDS), demonstrated that tight blood pressure control over nine years (mean fall of 160/94 to 144/82 mmHg), with either atenolol or captopril, compared to a less tight blood pressure control group (mean fall of 161/94 to 154/87 mmHg) – a difference of 10/5 mmHg, sustained over the nine years – resulted in significant benefit. There was a reduction in overall risk of microvascular complications by 37% (p=0.0092), diabetes-related deaths by 32% (p=0.0046) but no significant effect was seen in all-cause mortality. After 6 years, 29% of the diabetic subjects required three or more drugs to achieve tight blood pressure control.
{"title":"The UK Prospective Diabetes Study (UKPDS): Its legacy for type 2 diabetes management","authors":"I. Campbell","doi":"10.3132/PCCJ.2009.012","DOIUrl":"https://doi.org/10.3132/PCCJ.2009.012","url":null,"abstract":"subjects (> 120% ideal body weight) randomised primarily to metformin, there was a substantial risk reduction for MI (39%, p=0.01) and all-cause mortality (36%, p=0.011). The blood pressure control part of the UKPDS, known as the Hypertension in Diabetes Study (HDS), demonstrated that tight blood pressure control over nine years (mean fall of 160/94 to 144/82 mmHg), with either atenolol or captopril, compared to a less tight blood pressure control group (mean fall of 161/94 to 154/87 mmHg) – a difference of 10/5 mmHg, sustained over the nine years – resulted in significant benefit. There was a reduction in overall risk of microvascular complications by 37% (p=0.0092), diabetes-related deaths by 32% (p=0.0046) but no significant effect was seen in all-cause mortality. After 6 years, 29% of the diabetic subjects required three or more drugs to achieve tight blood pressure control.","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126246556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Investigating symptoms suggestive of cardiac arrhythmia in primary care requires a strategy beyond the resting 12-lead electrocardiogram (ECG), as the test is generally only of use while the patient is experiencing discomfort during the recording. This study assessed the use of automated ambulatory ECG monitors in diagnosing cardiac arrhythmias. Design: A retrospective review of patients at one general practice. Participants: 52 consecutive patients (73% female; age 52+18 years, range 22 to 93 years) with symptoms suggestive of cardiac arrhythmia. Method: Automated ECG was recorded for 24 hours. Patients were also given a diary to record symptoms. The ECG reports were examined at the end of the test and correlated with symptoms, patient notes, and history before a decision to refer to secondary care was made. Results: Episodes (> 30 s) of tachycardia (> 120 bpm) were present in 52% of patients and bradycardia (< 50 bpm) in 19%. The most common supraventricular arrhythmia was atrial ectopics, detected in 52% of patients. Three patients (6%) were found to have atrial fibrillation (AF) during the 24-hour test. Ventricular arrhythmia was detected in 71% of patients, with an average ectopic rate of 28+88 per hour (range < 1 to 397 per hour). Overall, 73% of patients were symptomatic during the 24-hour test, with 10% experiencing symptoms on at least 10 occasions. Conclusions: Use of ambulatory ECG in patients with symptoms of cardiac arrhythmia proved feasible and useful in primary care. Results were used as the basis of referrals for 50% of patients tested, and to inform initiation or changes of medication in a further 24% of patients.
{"title":"Ambulatory ECG monitoring in primary care","authors":"G. Kassianos","doi":"10.3132/PCCJ.2008.027","DOIUrl":"https://doi.org/10.3132/PCCJ.2008.027","url":null,"abstract":"Objective: Investigating symptoms suggestive of cardiac arrhythmia in primary care requires a strategy beyond the resting 12-lead electrocardiogram (ECG), as the test is generally only of use while the patient is experiencing discomfort during the recording. This study assessed the use of automated ambulatory ECG monitors in diagnosing cardiac arrhythmias. Design: A retrospective review of patients at one general practice. Participants: 52 consecutive patients (73% female; age 52+18 years, range 22 to 93 years) with symptoms suggestive of cardiac arrhythmia. Method: Automated ECG was recorded for 24 hours. Patients were also given a diary to record symptoms. The ECG reports were examined at the end of the test and correlated with symptoms, patient notes, and history before a decision to refer to secondary care was made. Results: Episodes (> 30 s) of tachycardia (> 120 bpm) were present in 52% of patients and bradycardia (< 50 bpm) in 19%. The most common supraventricular arrhythmia was atrial ectopics, detected in 52% of patients. Three patients (6%) were found to have atrial fibrillation (AF) during the 24-hour test. Ventricular arrhythmia was detected in 71% of patients, with an average ectopic rate of 28+88 per hour (range < 1 to 397 per hour). Overall, 73% of patients were symptomatic during the 24-hour test, with 10% experiencing symptoms on at least 10 occasions. Conclusions: Use of ambulatory ECG in patients with symptoms of cardiac arrhythmia proved feasible and useful in primary care. Results were used as the basis of referrals for 50% of patients tested, and to inform initiation or changes of medication in a further 24% of patients.","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121785945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving outcomes in cardiovascular disease: An Invest to Saveguide for practice based commissioners","authors":"M. Kearney, Hannah Chellaswamy","doi":"10.3132/PCCJ.2009.021","DOIUrl":"https://doi.org/10.3132/PCCJ.2009.021","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130736236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"GPs can, and should, manage obesity as part of reducing the risk of cardiovascular disease","authors":"S. Mayor","doi":"10.3132/pccj.2008.012","DOIUrl":"https://doi.org/10.3132/pccj.2008.012","url":null,"abstract":"","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126652598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
• Cigarette smoking • Serum lipid levels • Hypertension • Hyperglycaemia/insulin resistance • Excess body weight • Thrombotic risk10 D. Duhot, MD Societe Francaise de Medecine Generale, 141 avenue de Verdun 92130 Issy les Moulineaux, France E. McGregor, PhD Senior Editor, The Future Forum Secretariat, London, UK Diana Gorog Consultant Cardiologist, East & North Hertfordshire NHS Trust and Imperial College London C. Packard, DSc, FRSE Department of Pathological Biochemistry, Glasgow Royal Infirmary, Alexandra Parade, Glasgow, UK *Corresponding author Email: d.duhot@sfmg.org Prim Care Cardiovasc J 2010; 3: 91-96 doi: 10.3132/pccj.2010.011
•吸烟•血脂水平•高血压•高血糖/胰岛素抵抗•体重超重•血栓形成风险10 D. Duhot，医学博士法国兴业医学总院，凡尔登大道141号，92130法国Issy les Moulineaux，法国E. McGregor博士，高级编辑，未来论坛秘书处，英国伦敦Diana Gorog顾问心脏病专家，赫特福德郡东部和北部NHS信托基金和伦敦帝国理工学院C. Packard, DSc, FRSE病理生物化学系格拉斯哥皇家医院，亚历山德拉游行，格拉斯哥，英国*通讯作者电子邮件:d.duhot@sfmg.org Prim Care cardiovascular J 2010;[3]: 91-96 doi: 10.3132/pccj.2010.011
{"title":"An international perspective on cardiovascular risk management: recommendations for high-risk patients","authors":"D. Duhot, E. Mcgregor, Diana A Gorog, C. Packard","doi":"10.3132/PCCJ.2010.011","DOIUrl":"https://doi.org/10.3132/PCCJ.2010.011","url":null,"abstract":"• Cigarette smoking • Serum lipid levels • Hypertension • Hyperglycaemia/insulin resistance • Excess body weight • Thrombotic risk10 D. Duhot, MD Societe Francaise de Medecine Generale, 141 avenue de Verdun 92130 Issy les Moulineaux, France E. McGregor, PhD Senior Editor, The Future Forum Secretariat, London, UK Diana Gorog Consultant Cardiologist, East & North Hertfordshire NHS Trust and Imperial College London C. Packard, DSc, FRSE Department of Pathological Biochemistry, Glasgow Royal Infirmary, Alexandra Parade, Glasgow, UK *Corresponding author Email: d.duhot@sfmg.org Prim Care Cardiovasc J 2010; 3: 91-96 doi: 10.3132/pccj.2010.011","PeriodicalId":308856,"journal":{"name":"Primary Care Cardiovascular Journal (pccj)","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125183836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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