Cardiovascular disease is a leading cause of morbidity and mortality in pregnancy. Guidelines and position statements consistently highlight the importance of recognising the risks in pregnancy related to cardiovascular disease and providing preconception counselling for women with cardiovascular disease. Nurses are pivotal in the management of cardiovascular disease across care settings. Improving awareness and understanding of the issues facing women of reproductive age with cardiovascular disease is essential to improve outcomes for women with the condition. In the first of this series focusing on cardiovascular disease in pregnancy, the authors highlight the importance of preconception care and the role of nurses working in cardiology.
{"title":"A guide to preconception care in cardiovascular disease: unlocking the essentials","authors":"Maggie Simpson, Claire Nicol, Bethan Cowley","doi":"10.12968/bjca.2024.0026","DOIUrl":"https://doi.org/10.12968/bjca.2024.0026","url":null,"abstract":"Cardiovascular disease is a leading cause of morbidity and mortality in pregnancy. Guidelines and position statements consistently highlight the importance of recognising the risks in pregnancy related to cardiovascular disease and providing preconception counselling for women with cardiovascular disease. Nurses are pivotal in the management of cardiovascular disease across care settings. Improving awareness and understanding of the issues facing women of reproductive age with cardiovascular disease is essential to improve outcomes for women with the condition. In the first of this series focusing on cardiovascular disease in pregnancy, the authors highlight the importance of preconception care and the role of nurses working in cardiology.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"11 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141797619","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}
New opportunities for consultant practice roles in heart failure services are lacking in the UK, but posts are developing across the country. This article discusses consultant practice, using reflective accounts from two consultant nurses who practice in different care settings to explore how their experiences led to their current roles. The definition of consultant practice and how ‘imposter syndrome’ could impact success are also discussed.
{"title":"Consultant practice in heart failure: reflections and evidence","authors":"Rebecca Hyland, Rebecca Bone","doi":"10.12968/bjca.2024.0029","DOIUrl":"https://doi.org/10.12968/bjca.2024.0029","url":null,"abstract":"New opportunities for consultant practice roles in heart failure services are lacking in the UK, but posts are developing across the country. This article discusses consultant practice, using reflective accounts from two consultant nurses who practice in different care settings to explore how their experiences led to their current roles. The definition of consultant practice and how ‘imposter syndrome’ could impact success are also discussed.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141810117","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}
Joanne McAllister, Mary Harrison, C. A. Lawson, Sally J Singh
People of South Asian ethnicities are underserved by cardiac rehabilitation services, despite being more susceptible to developing cardiac risk factors and experiencing higher rates of cardiac-related mortality and hospitalisations. To reduce ethnic health inequalities and increase uptake and completion of cardiac rehabilitation, services must understand the demographic characteristics related to this population and make culturally relevant programme adaptations. Cardiovascular nurses can play a key role in improving the quality of data collection, identifying and reporting health inequalities and redesigning services to consider the needs of those who are most at risk.
{"title":"Ethnic health inequalities in cardiac rehabilitation: driving high-quality data","authors":"Joanne McAllister, Mary Harrison, C. A. Lawson, Sally J Singh","doi":"10.12968/bjca.2024.0095","DOIUrl":"https://doi.org/10.12968/bjca.2024.0095","url":null,"abstract":"People of South Asian ethnicities are underserved by cardiac rehabilitation services, despite being more susceptible to developing cardiac risk factors and experiencing higher rates of cardiac-related mortality and hospitalisations. To reduce ethnic health inequalities and increase uptake and completion of cardiac rehabilitation, services must understand the demographic characteristics related to this population and make culturally relevant programme adaptations. Cardiovascular nurses can play a key role in improving the quality of data collection, identifying and reporting health inequalities and redesigning services to consider the needs of those who are most at risk.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"59 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141809427","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}
Laura Kinsey highlights the need for health professionals to involve parents when delivering adolescent congenital heart disease services.
劳拉-金赛强调，医疗专业人员在提供青少年先天性心脏病服务时，需要让家长参与进来。
{"title":"Involving parents in the care management of adolescents with complex congenital heart disease","authors":"Laura Kinsey","doi":"10.12968/bjca.2024.0043","DOIUrl":"https://doi.org/10.12968/bjca.2024.0043","url":null,"abstract":"Laura Kinsey highlights the need for health professionals to involve parents when delivering adolescent congenital heart disease services.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"93 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141658041","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}
Nicola Morrell-Scott highlights concerning trends in cardiovascular mortality since 2020 and discusses changes in the nursing profession and education that may lead to further problems in the near future.
{"title":"Is there an impending crisis for patients with cardiovascular disease?","authors":"N. Morrell-Scott","doi":"10.12968/bjca.2024.0038","DOIUrl":"https://doi.org/10.12968/bjca.2024.0038","url":null,"abstract":"Nicola Morrell-Scott highlights concerning trends in cardiovascular mortality since 2020 and discusses changes in the nursing profession and education that may lead to further problems in the near future.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141366500","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}
Emma Neves, T. Bueser, Katie Frampton, Emma Lee, Dominic Studart, Liam Tobin, Elizabeth Wilson
Familial hypercholesterolaemia is a common genetic condition that affects the liver's ability to clear low-density lipoprotein cholesterol from the bloodstream. It affects around one in 250 individuals and is characterised by elevated lipid levels from birth. The causal relationship between raised lipids and cardiovascular disease is well established and the impact of this is evident in familial hypercholesterolaemia. These individuals find themselves at increased risk of premature cardiovascular events as a result of the cumulative lifetime burden of excess cholesterol in the bloodstream. Most individuals with familial hypercholesterolaemia remain undiagnosed and therefore untreated. Early detection and treatment of familial hypercholesterolaemia provides an opportunity to initiate cardiovascular risk prevention, which can reduce the individual's level of risk to that of the general population. Increasing nurses' genetic knowledge and raising awareness of conditions such as familial hypercholesterolaemia can help to improve current rates of detection and provide nurses with the necessary skills to recognise and support patients and their families.
{"title":"Familial hypercholesterolaemia: a genetic condition with associated cardiovascular risk","authors":"Emma Neves, T. Bueser, Katie Frampton, Emma Lee, Dominic Studart, Liam Tobin, Elizabeth Wilson","doi":"10.12968/bjca.2023.0024","DOIUrl":"https://doi.org/10.12968/bjca.2023.0024","url":null,"abstract":"Familial hypercholesterolaemia is a common genetic condition that affects the liver's ability to clear low-density lipoprotein cholesterol from the bloodstream. It affects around one in 250 individuals and is characterised by elevated lipid levels from birth. The causal relationship between raised lipids and cardiovascular disease is well established and the impact of this is evident in familial hypercholesterolaemia. These individuals find themselves at increased risk of premature cardiovascular events as a result of the cumulative lifetime burden of excess cholesterol in the bloodstream. Most individuals with familial hypercholesterolaemia remain undiagnosed and therefore untreated. Early detection and treatment of familial hypercholesterolaemia provides an opportunity to initiate cardiovascular risk prevention, which can reduce the individual's level of risk to that of the general population. Increasing nurses' genetic knowledge and raising awareness of conditions such as familial hypercholesterolaemia can help to improve current rates of detection and provide nurses with the necessary skills to recognise and support patients and their families.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"63 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398644","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}
Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.
莎拉-简-帕尔默（Sarah Jane Palmer）精选了近期发表的心血管护理领域护士感兴趣的文章，而海伦-考恩（Helen Cowan）则探讨了这些文章在实践中的应用。本综述旨在对所选研究论文进行简要概述，并强调其与心血管护理实践的相关性。我们还为希望进一步了解研究细节的读者提供了完整的参考文献。
{"title":"Highlighting the latest research: March 2024","authors":"Sarah Jane Palmer, Helen Cowan","doi":"10.12968/bjca.2024.0015","DOIUrl":"https://doi.org/10.12968/bjca.2024.0015","url":null,"abstract":"Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"59 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398712","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}
Sarah Ellison, James Partington, Anna Watkin, Chris Buckels, Sujeet Jaydeokar
Patients with congenital heart disease are living longer as a result of surgical and medical advances. General practice is key in identifying and supporting lifelong care, yet there is a lack of research into congenital heart disease in this area. This study aimed to explore the prevalence and comorbidities of patients with congenital heart disease compared to those without congenital heart disease in primary care settings in Cheshire, England. This cross-sectional study used routinely collected health data from the NHS general practice population information disease database within primary care in Cheshire. Clinical read codes for congenital heart disease were added to the current data analytics risk stratification tool. Searches for patients of all ages with and without congenital heart disease were undertaken in July 2022. A total of 765 576 patients were included in the study. Of 765 576 patient records, 6419 patients were coded with congenital heart disease, a prevalence of 0.8%, with a comparatively younger age compared with the non-congenital heart disease cohort. Patients with congenital heart disease were three times more likely to have heart failure (odds ratio=3.36; 95% confidence interval=2.96−3.81) or stroke (odds ratio=3.58; 95% confidence interval=3.24–3.94). The most frequent comorbidities in both groups were hypertension, anxiety and depression, with no significant difference between the groups. Among those with congenital heart disease, the prevalence of a learning disability was more than eight times higher than those without congenital heart disease (odds ratio=9.23; 95% confidence interval=8.16–10.55) and autism was three times more likely (odds ratio=2.98; 95% confidence interval=2.32–3.84) in those with congenital heart disease. There are high rates of comorbidities in the congenital heart disease population in primary care. Innovative use of digital instruments can enable identification and risk stratification of patients with congenital heart disease to support lifelong care. Congenital heart disease guidance should include primary care settings to create opportunities for mutual learning that can enhance collaborative practice.
{"title":"Congenital heart disease and comorbidities in primary care: a cross-sectional study","authors":"Sarah Ellison, James Partington, Anna Watkin, Chris Buckels, Sujeet Jaydeokar","doi":"10.12968/bjca.2023.0083","DOIUrl":"https://doi.org/10.12968/bjca.2023.0083","url":null,"abstract":"Patients with congenital heart disease are living longer as a result of surgical and medical advances. General practice is key in identifying and supporting lifelong care, yet there is a lack of research into congenital heart disease in this area. This study aimed to explore the prevalence and comorbidities of patients with congenital heart disease compared to those without congenital heart disease in primary care settings in Cheshire, England. This cross-sectional study used routinely collected health data from the NHS general practice population information disease database within primary care in Cheshire. Clinical read codes for congenital heart disease were added to the current data analytics risk stratification tool. Searches for patients of all ages with and without congenital heart disease were undertaken in July 2022. A total of 765 576 patients were included in the study. Of 765 576 patient records, 6419 patients were coded with congenital heart disease, a prevalence of 0.8%, with a comparatively younger age compared with the non-congenital heart disease cohort. Patients with congenital heart disease were three times more likely to have heart failure (odds ratio=3.36; 95% confidence interval=2.96−3.81) or stroke (odds ratio=3.58; 95% confidence interval=3.24–3.94). The most frequent comorbidities in both groups were hypertension, anxiety and depression, with no significant difference between the groups. Among those with congenital heart disease, the prevalence of a learning disability was more than eight times higher than those without congenital heart disease (odds ratio=9.23; 95% confidence interval=8.16–10.55) and autism was three times more likely (odds ratio=2.98; 95% confidence interval=2.32–3.84) in those with congenital heart disease. There are high rates of comorbidities in the congenital heart disease population in primary care. Innovative use of digital instruments can enable identification and risk stratification of patients with congenital heart disease to support lifelong care. Congenital heart disease guidance should include primary care settings to create opportunities for mutual learning that can enhance collaborative practice.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"56 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398474","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}
Improvements in clinical awareness of cardiac amyloidosis have led to earlier recognition of signs and symptoms, access to diagnostics and a specialist multidisciplinary team. Yet, it remains a life-limiting disease. This editorial discusses cardiac amyloidosis and how nurses can identify ‘red flags’ to facilitate earlier diagnosis.
{"title":"Amplifying awareness of cardiac amyloidosis and the need for early recognition","authors":"Maggie Simpson","doi":"10.12968/bjca.2024.0008","DOIUrl":"https://doi.org/10.12968/bjca.2024.0008","url":null,"abstract":"Improvements in clinical awareness of cardiac amyloidosis have led to earlier recognition of signs and symptoms, access to diagnostics and a specialist multidisciplinary team. Yet, it remains a life-limiting disease. This editorial discusses cardiac amyloidosis and how nurses can identify ‘red flags’ to facilitate earlier diagnosis.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"31 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444103","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}
Suzanne Fredericks, Maria Hayes, Rosalie Magboo, Emily Phillips, Lisa Chen, Sheila O'Keefe-McCarthy, Richard van Valen, Karen L Then, Tracey Bowden
As part of the CONNECT series, Suzanne Fredericks and colleagues discuss the need for specialised cardiothoracic surgical training for nurses and allied health professionals, as well as the implications of this both across the UK and internationally.
{"title":"CONNECTing nurses and allied professionals through specialised cardiothoracic surgical training","authors":"Suzanne Fredericks, Maria Hayes, Rosalie Magboo, Emily Phillips, Lisa Chen, Sheila O'Keefe-McCarthy, Richard van Valen, Karen L Then, Tracey Bowden","doi":"10.12968/bjca.2024.0005","DOIUrl":"https://doi.org/10.12968/bjca.2024.0005","url":null,"abstract":"As part of the CONNECT series, Suzanne Fredericks and colleagues discuss the need for specialised cardiothoracic surgical training for nurses and allied health professionals, as well as the implications of this both across the UK and internationally.","PeriodicalId":502395,"journal":{"name":"British Journal of Cardiac Nursing","volume":"167 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140443749","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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