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Guidelines in Practice articles
  • Accurate measurement of blood pressure can reduce risks and costs
    Professor Mark Caulfield (Nov 2013 )
  • Prompt treatment is crucial in management of acute STEMI
    Dr Alan Begg (Oct 2013 )
  • NICE quality standard brings management of VTE system-wide
    Drs Alex Coupland and Gavin Flatt and Professor Gerard Stansby (Jul 2013 )
  • SIGN should review its guidance on anticoagulants
    Dr Alan Begg (May 2013 )
  • New trial data prompt update of the ESC guideline on AF
    Dr Irene Savelieva and Professor John Camm (Mar 2013 )
  • Treatment of angina is based on likelihood of coronary artery disease
    Dr Jonathan Shribman (Jan 2013 )
  • Tighter targets for blood pressure are needed
    Dr Alan Begg (Jan 2013 )
  • A supervised exercise regimen is advised for treating PAD
    Dr Alan Begg (Dec 2012 )
  • The two-level Wells scores should be used in suspected VTE cases
    Adriano Sala Tenna, Scott Harrison, Liz Avital, and Gerard Stansby (Sep 2012 )
  • Hypertension should be managed and treated proactively
    Dr Diviash Thakrar (Aug 2012 )
  • Greater progress is needed in case identification of FH
    Dr David Milne (Jul 2012 )
  • Revised QOF indicators for AF promote risk assessment of stroke
    Dr Alan Begg (Jun 2012 )
  • Peripheral arterial disease increases risk of a cardiovascular event
    Dr Alan Begg (May 2012 )
  • Hyperglycaemia should be managed in patients with ACS
    Dr Alan Begg (Feb 2012 )
  • NICE updates its ACD algorithm on antihypertensive drugs
    Dr Terry McCormack (Jan 2012 )
  • CHD indicators provide more detail on treatment of MI
    Dr Alan Begg (Nov 2011 )
  • NICE highlights optimal medical therapy in stable angina guideline
    Drs Rebecca Knowles and Norma O'Flynn, and Professor Adam Timmis (Oct 2011 )
  • NICE offers practical advice on managing stable angina
    Dr Ahmet Fuat (Sep 2011 )
  • CVD risk assessment is a cost-effective way of improving care
    Paul Westerby (Aug 2011 )
  • All patients admitted to hospital should be assessed for VTE risk
    Dr Henry Watson (Apr 2011 )
  • High-dose simvastatin can lead to increased risk of myopathy
    Dr Alan Begg (Jan 2011 )
  • Quick diagnosis of heart failure will help prevent high mortality rates
    Dr Abdallah Al-Mohammad and Professor Jonathan Mant (Dec 2010 )
  • The Simon Broome criteria should be used to detect FH
    Drs Kathy Greenough and Kate Cushing (Dec 2010 )
  • GPs need to be aware of hypertensive disorders in pregnant women
    Dr Chris Barry (Nov 2010 )
  • A full and detailed history is vital when diagnosing blackouts
    Dr Greg Rogers (Nov 2010 )
  • Controlling heart rate is key when managing stable angina
    Dr Chris Arden (Oct 2010 )
  • Measuring BNP levels will help streamline HF referrals
    Dr Nigel Rowell (Oct 2010 )
  • Controlling heart rate is key when managing stable angina
    Dr Chris Arden (Oct 2010 )
  • Patients with unstable angina and NSTEMI should be risk stratified
    Dr Mark de Belder (Aug 2010 )
  • Controlling triglyceride levels can reduce risk of CVD and pancreatitis
    Dr Honor Merriman (Jul 2010 )
  • Immediate treatment of stroke is key for improved outcomes
    Dr Scott Ramsay (Jun 2010 )
  • ACS and anginal chest pain require different diagnostic pathways
    Dr Rajiv Rampat (May 2010 )
  • NICE post-MI guideline provides a framework for primary care
    Dr Rajiv Rampat and Professor Adam Timmis discuss the lifestyle and drug treatment recommendations on secondary prevention following a myocardial infarction (Mar 2010 )
  • All patients admitted to hospital should be assessed for risk of VTE
    Professor Tom Treasure, Dr Lee-Yee Chong, and Dr Jennifer Hill (Mar 2010 )
  • Prasugrel recommended for acute coronary syndrome
    Dr Alan Begg (Jan 2010 )
  • Regular structured asthma reviews will reduce exacerbations
    Dr Mark L Levy (Dec 2009 )
  • NHS stop smoking services can help to improve quit rates
    Professor Linda Bauld (Dec 2009 )
  • Risk assessment can help in the primary prevention of CVD
    Dr Alan Begg (Oct 2009 )
  • Primary care has an important role in the management of CKD
    Dr Kathryn Griffith (Jul 2009 )
  • VTE prophylaxis: new drug option recommended by NICE
    Professor Sam Machin (Jul 2009 )
  • Should aspirin be used for primary prevention?
    Julia Morris (Jun 2009 )
  • Heart failure indicators for QOF 2009/10 reflect latest evidence
    Dr Alan Begg (Jun 2009 )
  • NICE guideline aims to improve diagnosis and management of FH
    Dr Mary Seed (May 2009 )
  • Cardiovascular risk should be reduced in patients with CKD
    Dr Alan Begg (Mar 2009 )
  • Guideline on FH emphasises importance of diagnosis
    Dr Judith Hayward (Mar 2009 )
  • Are CV events in diabetes reduced by aspirin?
    Dr Alan Begg (Feb 2009 )
  • JUPITER trial demonstrates clear benefits in CV outcomes
    Dr Alan Begg (Jan 2009 )
  • Fish oil supplements benefit patients with heart failure
    Dr Alan Begg (Dec 2008 )
  • SEAS trial and cancer risk: should prescribing change?
    Dr Alan Begg (Nov 2008 )
  • New SIGN guideline defines risks for chronic kidney disease patients
    Dr Mark MacGregor (Oct 2008 )
  • Better awareness of NICE stroke guideline will improve patient care
    Dr Anthony Rudd (Sep 2008 )
  • New guideline from NICE highlights the benefits of statins
    Dr Rubin Minhas (Aug 2008 )
  • NICE approves rimonabant for overweight and obesity
    Dr David Haslam (Aug 2008 )
  • NICE promotes assessment of cardiovascular risk
    Dr Alan Begg (Jul 2008 )
  • HYVET shows improved outcomes in older patients
    Dr Alan Begg (Jun 2008 )
  • SIGN advice on angina care is reinforced by recent evidence
    Dr Alan Begg (May 2008 )
  • Extended treatment is needed to prevent VTE in post-surgical patients
    Professor Samuel Machin (Apr 2008 )
  • Lipid lowering: clinical outcome evidence should be followed
    Dr Alan Begg (Feb 2008 )
  • Combination therapy is effective at reducing hypertension levels
    Dr John Cannon (Feb 2008 )
  • Lowering cholesterol levels reduces CVD mortality
    Dr Alan Begg (Jan 2008 )
  • Young people who give up smoking reduce their CVD risk
    Dr Lee Casey (Jan 2008 )
  • Targets in the QOF2 CHD indicators are the audit standard
    Dr Sarah Jarvis (Dec 2007 )
  • Patients benefit from a simple CVD risk recording project
    Dr Zaid Albrefkany (Dec 2007 )
  • Effective management of hypertension is a key aim for primary care
    Dr Alan Begg (Oct 2007 )
  • SIGN updates treatment recommendations for CHF
    Dr Peter Savill (Sep 2007 )
  • Management of a 70-year-old man with heart failure and a history of hypertension and MI
    Dr Nigel Rowell (Sep 2007 )
  • New guideline from SIGN will support GPs in treating CHF
    Dr Jacob George and Professor Allan Struthers (Aug 2007 )
  • Current guidelines on cardiovascular disease set achievable targets
    Dr Alan Begg (Jul 2007 )
  • NICE post-MI guideline is an essential tool for healthcare professionals
    Dr Rubin Minhas (Jul 2007 )
  • SIGN recommendations on angina are relevant to all UK practices
    Dr Alan Begg (Jun 2007 )
  • SIGN stable angina guideline highlights treatment options
    Dr Paul Malis and Dr Ken O'Neill (May 2007 )
  • SIGN stable angina guideline highlights treatment options
    Dr Paul Malis and Dr Ken O'Neill (May 2007 )
  • Estimation of risk is required to help prevent cardiovascular events
    Dr James Grant (Apr 2007 )
  • Positive action is required to stem the rise in obesity
    Dr David Haslam (Apr 2007 )
  • Role of risk estimation in the prevention of CVD
    Dr Alan Begg (Mar 2007 )
  • NICE guideline aims to help stop rising prevalence of obesity
    Professor James McEwen (Mar 2007 )
  • SIGN publishes guidance on CHD and CVD
    Dr Alan Begg (Feb 2007 )
  • Stroke and TIA indicator targets are the minimum audit standard
    Dr Stewart Findlay (Feb 2007 )
  • Community heart failure service benefits patients and doctors
    (Dec 2006 )
  • PAD can be handled by the primary care team
    Dr Alan Begg (Nov 2006 )
  • Managing high blood pressure is important in many areas of QOF2
    Dr Alan Begg (Oct 2006 )
  • Guideline updates the treatment algorithm for hypertension
    Dr Rubin Minhas (Sep 2006 )
  • Guidance will help GPs to identify and treat atrial fibrillation
    Dr Alan Begg (Jul 2006 )
  • Should hypertension be treated with beta-blockers?
    Dr Mark Davis (Jul 2006 )
  • Making cardiovascular risk assessment easier
    Dr Alan Begg (Jun 2006 )
  • Heart failure patients will benefit from additions to the QOF
    Dr Alan Begg (Apr 2006 )
  • Using warfarin to treat atrial fibrillation will decrease stroke risk
    Dr Alan Begg (Mar 2006 )
  • JBS 2 will help GPs provide preventive cardiovascular care
    Professor David Wood (Mar 2006 )
  • Statins can significantly reduce risk of CVD
    Dr Alan Begg (Feb 2006 )
  • JBS 2 focuses on all patients at risk of cardiovascular disease
    Dr Alan Begg (Jan 2006 )
  • JBS 2 focuses on all patients at risk of cardiovascular disease
    Dr Alan Begg (Jan 2006 )
  • A 10-step approach to successful hypertension management in practice
    Dr Peter Standing (Dec 2005 )
  • Cardiovascular risk assessment is key to BP management
    Dr Alan Begg (Oct 2005 )
  • Time for a rethink on blood pressure lowering therapy
    Dr Alan Begg (Sep 2005 )
  • NICE aids GPs in choice of antiplatelet therapy
    Dr Alan Begg (Jul 2005 )
  • New contract helps to optimise care of stroke and TIA patients
    Dr Alan Begg (Jul 2005 )
  • Systematic approach enhances management of hypertension patients
    Sarah Tulip (Jun 2005 )
  • Electronic audit forms cornerstone of project to improve CHD care
    Dr John Robson (May 2005 )
  • The clinical indicators: secondary prevention of CHD one year on
    Dr Alan Begg (Apr 2005 )
  • Computerised decision support system is key to anticoagulation service
    Dr Alan Begg (Feb 2005 )
  • GPs have key role in long-term management of childhood stroke
    Dr Vijeya Ganesan (Jan 2005 )
  • Stroke guidelines should improve patient outcomes
    Dr Alan Begg (Nov 2004 )
  • Primary care concise stroke guidelines help GPs keep up to date
    Dr Anthony Rudd, Penny Irwin and Dr Paul Holmes (Nov 2004 )
  • SIGN notes will help GPs broach obesity in children
    (Nov 2004 )
  • NICE hypertension guidance is tailored to primary care
    Dr Alan Begg (Oct 2004 )
  • SIGN notes for discussion with patients: 17. Management of obesity in children and young people
    (Sep 2004 )
  • RCP stroke guidelines stress importance of secondary prevention
    Dr Tony Rudd and Penny Irwin (Jul 2004 )
  • GP contract fails patients with peripheral vascular disease
    Dr Alan Begg and Ms Julie Brittenden (Jun 2004 )
  • Hypertension guideline stresses importance of estimating CVD risk
    Dr Alan Begg (May 2004 )
  • CHD tsar praises GPs' initiatives in secondary prevention
    (May 2004 )
  • Deciding who to include on the hypertension register
    (May 2004 )
  • In defence of Framingham
    Dr Alan Begg (Mar 2004 )
  • Tackling hypertension will help to reduce cardiovascular risk
    Dr Alan Begg (Feb 2004 )
  • Clinical indicators for stroke and TIA set benchmark for care
    Dr Nigel Watson (Dec 2003 )
  • Tackling the clinical indicators: secondary prevention of CHD
    Dr Alan Begg (Sep 2003 )
  • NICE guideline will improve heart failure management
    Professor Martin Cowie (Sep 2003 )
  • Listening to patients helps improve heart failure care
    Victoria Thomas (Sep 2003 )
  • Integrating exercise into a programme of cardiac rehabilitation
    Dr Alan Begg and Tom Brighton (Jul 2003 )
  • SIGN guideline will help GPs tackle childhood obesity
    Dr Peter Saul (Jun 2003 )
  • Obesity is a social issue
    Dr Matthew Lockyer (May 2003 )
  • Notes for discussion with patients 6. Management of asthma
    (Feb 2003 )
  • Guideline aims to reduce venous thromboembolism
    Dr Peter Saul (Dec 2002 )
  • All community nurses can play a role in cardiac rehab
    (Dec 2002 )
  • CHD audit will help improve care for patients following MI
    Dr Nigel Watson (Dec 2002 )
  • NICE referral advice: 11. Varicose veins
    (Nov 2002 )
  • Integrating primary and secondary care cardiac rehabilitation services
    Dr Hasnain Dalal (Nov 2002 )
  • Specialist nurses play key role in implementing the NSF for CHD
    Dr Stewart Findlay (Nov 2002 )
  • The role of statins in patients at high risk of vascular disease
    Dr Andrew Clark (Oct 2002 )
  • Updated national stroke guidelines include new trial evidence
    Dr Tony Rudd and Penny Irwin (Jun 2002 )
  • New SIGN guideline underlines importance of cardiac rehabilitation
    Dr Alan Begg (Apr 2002 )
  • Setting up a cardiac rehabilitation service in the community
    Janette Baines (Apr 2002 )
  • Tackling the NSF for coronary heart disease
    Koon Lan Chan and Dr Hugh Reeve (Mar 2002 )
  • Revised ESC guidelines aim to improve the management of CHF
    Dr Andrew Clark (Feb 2002 )
  • Guidance on sibutramine presents a challenge to GPs
    Dr Ian Campbell (Nov 2001 )
  • Intensive approach to CHD management proves effective
    Julia Bennett (Oct 2001 )
  • New cardiovascular risk score includes stroke and CHD
    Dr David Archer (Sep 2001 )
  • Shared-care stroke service helps to promote best practice
    Dr John Coop, Angela Williams, Dr Martin James and Tina Wills (Sep 2001 )
  • NICE guideline aims to reduce morbidity and mortality post-MI
    Dr Malcolm Thomas (Sep 2001 )
  • GP anticoagulation clinic ensure continuity of care
    Dr David Fitzmaurice and Ellen Murray (Aug 2001 )
  • SIGN guideline on stable angina could reduce CHD deaths
    Dr Charles Swainson (Jul 2001 )
  • New SIGN angina guideline will promote best practice
    Dr Charles Sears (Jul 2001 )
  • CHF audit highlights the need to update practice guidelines
    Dr Nigel Watson (Jul 2001 )
  • Treating hypertension in older people could reduce strokes and CHD
    Dr Ron MacWalter (Jun 2001 )
  • Vascular disease programme reduces inequities of care
    Dr David Whitford and Liz Brittebank (Jun 2001 )
  • Controlling BP in the elderly poses a challenge to GPs
    Dr David Brodie (Jun 2001 )
  • Why primary care cannot afford to ignore obesity
    Dr Ian Campbell (May 2001 )
  • Not enough evidence to support treatment of obesity by GPs
    Dr Matthew Lockyer (Apr 2001 )
  • Primary care guidelines aim to simplify obesity management
    Dr. Ian Campbell (Mar 2001 )
  • Trials support use of ACE inhibitors in chronic heart failure
    Dr Andrew Clark (Mar 2001 )
  • Practice audit points the way to improved monitoring of CHD
    Dr Nigel Watson (Feb 2001 )
  • New checklist and resource pack aim to improve stroke care
    Dr George Kassianos (Dec 2000 )
  • CHD patient education morning proves popular
    Julia Bennett (Dec 2000 )
  • Trials support use of beta-blockers in chronic heart failure
    Dr Andrew Clark (Nov 2000 )
  • Identifying hypertensive patients from practice lists
    Dr Nigel Watson (Nov 2000 )
  • New package will simplify audit of heart failure management
    Dr Mark Charny (Oct 2000 )
  • PCG initiative supports the development of practice CHD registers
    Dr Paul Twomey (Oct 2000 )
  • Hypertension audit brings practice in line with BHS guidelines
    Dr Nigel Watson (Aug 2000 )
  • Developing GP review criteria for stable angina
    Professor Allen Hutchinson (Jun 2000 )
  • Pharmacists aid GP audit in Portsmouth Aspirin Project
    Dr Mike Sadler, Katie Hovenden and Dee Lehan-Mathews (May 2000 )
  • RCP guidelines set out national strategy to improve stroke care
    Dr Anthony Rudd and Penny Irwin (Apr 2000 )
  • Assessing the impact of hyperlipidaemia and dyspepsia guidelines
    Anita Maestri-Banks (Apr 2000 )
  • CHD database holds the key to secondary prevention
    Dr Hamish Dougall and Professor Frank Sullivan (Apr 2000 )
  • Angina patients may be missing out on secondary prevention
    Dr Rob Wicks (Mar 2000 )
  • Pilot study facilitates development of local angina guidelines
    Helen Wilson , Dr Patricia Edney and Dr Brian Hopkins (Jan 2000 )
  • Local audit improves GP management of raised cholesterol
    Norma Bell and Dr Mike Jones (Dec 1999 )
  • Cholesterol testing in general practice: who, why and so what?
    Dr David Starritt (Jul 1999 )
  • Practice guideline aims to raise detection rates for hypertension
    Dr Matthew Lockyer (May 1999 )
  • Joint guidelines promote unified approach to CHD prevention
    Professor David Wood (May 1999 )
  • SMAC guidelines pave the way for effective use of statins
    Dr Mark Wood (May 1999 )
  • Primary care guidelines must have GP input
    Dr Hugh Bethell (May 1999 )
  • Tailoring guidelines on hypertension to suit your practice
    Dr Charles Sears (Apr 1999 )
  • RCP reports on the role of drugs for obesity
    Dr John Muir (Mar 1999 )
  • Defining the role of the New Zealand risk tables
    (Dec 1998 )
  • Framingham risk scores help target primary prevention
    Dr David Archer (Nov 1998 )
  • Chronic heart failure patients have a right to effective therapy
    Dr Andrew Clark and Dr John Cleland (Nov 1998 )
  • Setting up a practice anticoagulant clinic
    Dr David Archer (Oct 1998 )
Guidelines summaries
Atrial fibrillation National Institute for Health and Care Excellence
Chest pain of recent onset: assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin National Institute for Health and Care Excellence
Chronic heart failure: management of chronic heart failure in adults in primary and secondary care National Institute for Health and Care Excellence
Familial hypercholesterolaemia: identification and management of familial hypercholesterolaemia National Institute for Health and Care Excellence
Hypertension: clinical management of primary hypertension in adults National Institute for Health and Care Excellence
Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease National Institute for Health and Care Excellence
Management of stable angina National Institute for Health and Care Excellence
MI: secondary prevention National Institute for Health and Care Excellence
Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children National Institute for Health and Care Excellence
Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack National Institute for Health and Care Excellence
Transient loss of consciousness: transient loss of consciousness ('blackouts') management in adults and young people National Institute for Health and Care Excellence
Venous thromboembolic diseases: the management of venous thromboembolic diseases and the role of thrombophilia testing National Institute for Health and Care Excellence
Joint British Societies' guidelines on the prevention of cardiovascular disease in clinical practice British Cardiac Society, British Hypertension Society, Diabetes UK, HEART UK, Primary Care Cardiovascular Society, The Stroke Association
2012 guideline on the management of atrial fibrillation European Society of Cardiology
Guidelines on the management of adult obesity and overweight in primary care National Obesity Forum
The primary care management of myalgia in patients who are taking statins Working Party—Kassianos, Armitage, Gill, Morrell, Reckless, Viljoen
NICE clinical guidelines

  • August 2011

  • July 2011

  • Aug 2010

  • Aug 2010

  • Mar 2010

  • Mar 2010

  • Jan 2010

  • Aug 2008

  • Jul 2008

  • May 2008

  • May 2007

  • Apr 2007

  • Apr 2001

  • Jul 2003

  • Jun 2006

  • Jun 2006
SIGN guidelines

  • Dec 2010

  • Jun 2010

  • Dec 2008

  • Jun 2008

  • Feb 2007

  • Feb 2007

  • Feb 2007

  • Feb 2007

  • Feb 2007

  • Oct 2006

  • Sep 2004

  • Oct 2006

  • Oct 2002

  • Jan 2002

  • Apr 2001

  • Jan 2001

  • Jan 2000

  • Sep 1999

  • Mar 1999

  • Feb 1999

  • Nov 1998

  • May 1997

  • May 1997
GAIN guidelines

  • 2010

  • 2009
PRODIGY
Demonstrating impact
  • New trial data prompt update of the ESC guideline on AF
    Dr Irene Savelieva and Professor John Camm (Mar 2013 )
  • Tighter targets for blood pressure are needed
    Dr Alan Begg (Jan 2013 )
  • Greater progress is needed in case identification of FH
    Dr David Milne (Jul 2012 )
  • Quick diagnosis of heart failure will help prevent high mortality rates
    Dr Abdallah Al-Mohammad and Professor Jonathan Mant (Dec 2010 )
  • GPs need to be aware of hypertensive disorders in pregnant women
    Dr Chris Barry (Nov 2010 )
  • A full and detailed history is vital when diagnosing blackouts
    Dr Greg Rogers (Nov 2010 )
  • Controlling heart rate is key when managing stable angina
    Dr Chris Arden (Oct 2010 )
  • Patients with unstable angina and NSTEMI should be risk stratified
    Dr Mark de Belder (Aug 2010 )
  • Immediate treatment of stroke is key for improved outcomes
    Dr Scott Ramsay (Jun 2010 )
  • ACS and anginal chest pain require different diagnostic pathways
    Dr Rajiv Rampat (May 2010 )
  • NICE post-MI guideline provides a framework for primary care
    Dr Rajiv Rampat and Professor Adam Timmis discuss the lifestyle and drug treatment recommendations on secondary prevention following a myocardial infarction (Mar 2010 )
  • New guideline from NICE highlights the benefits of statins
    Dr Rubin Minhas (Aug 2008 )
  • Chronic heart failure: management of chronic heart failure in adults in primary and secondary care
    National Institute for Health and Care Excellence (Jan 1970 )
Test and reflect
  • NICE guideline aims to improve diagnosis and management of FH
    Dr Mary Seed (May 2009 )
  • Fish oil supplements benefit patients with heart failure
    Dr Alan Begg (Dec 2008 )
  • New SIGN guideline defines risks for chronic kidney disease patients
    Dr Mark MacGregor (Oct 2008 )
  • Better awareness of NICE stroke guideline will improve patient care
    Dr Anthony Rudd (Sep 2008 )
  • New guideline from NICE highlights the benefits of statins
    Dr Rubin Minhas (Aug 2008 )
  • SIGN advice on angina care is reinforced by recent evidence
    Dr Alan Begg (May 2008 )

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