Main description:

Vital facts and figures for managing Coronary Heart Disease - in just 96 pages!

Coronary heart disease (CHD) is preventable yet kills more than 101,000 people in the UK every year. Primary Care health professionals play an essential role in identifying and managing at-risk patients, and providing care for those patients who have already been affected by heart disease. Vital Coronary Heart Disease take a pragmatic, hands-on approach to managing CHD care, combining the experienced skills of the author with the best evidence-based knowledge.

This expert quick-reference guide offers straightforward guidance for practice nurses, GPs and all health professionals caring for patients who have CHD. Equipped with this clear and easy-to-read handbook you can assess and treat your patients with speed and confidence.

*Protocols for patient assessment
*Making appropriate referrals to secondary care
*Case studies to demonstrate best practice
*Over 80 'Vital Points' highlighted throughout the text, for quick reference

Contents:

Foreword 7 Acknowledgements 8 Introduction 9 1 Coronary heart disease: an overview 11 2 Anatomy and physiology of the heart and coronary circulation: a recap 15 3 The pathophysiology of CHD or 'What goes wrong?' 19 Angina 21 Acute coronary syndrome 21 4 Presentation of acute coronary syndrome 23 Taking emergency action in suspected cardiac chest pain 24 5 Assessment and examination of patients presenting with non-acute chest pain 26 Differential diagnosis in chest pain 28 6 Diagnostic tests 29 7 Revascularisation procedures in acute coronary syndrome 31 Key terminology 31 Thrombolysis 32 PCI 32 Stents 35 Coronary artery bypass graft 35 8 Referral for non-acute presentations 38 9 Key risk factors for CHD 39 Modifiable risk factors 40 Non-modifiable risk factors 44 10 Risk assessment in primary prevention 45 Putting prevention first 45 11 Communicating risk 47 12 Pharmacological management of CHD 48 Management of angina 48 Secondary prevention of CHD 52 Managing hypertension as a risk factor in CHD 61 Other drugs that may be used after an MI 62 Other cardiovascular drugs that may be prescribed 62 13 Lifestyle interventions 65 Encouraging behaviour change 65 14 Other conditions that can be linked to CVD 69 Diabetes 69 Chronic kidney disease 70 Erectile dysfunction 70 Peripheral arterial disease 72 15 Cardiac rehabilitation 74 16 The General Medical Services Contract and the Quality and Outcomes Framework 78 Exemption reporting 79 17 Structuring care - the annual review 81 18 Education and self-management 84 The Expert Patient Programme 85 Sources of information about CHD 85 19 Getting on with living - keeping well with CHD 87 Sexual activity 87 Immunisations 87 Travel 87 Insurance 88 Driving 88 Work 88 Glossary 90 Useful resources 93 Other titles 94 Priority order form 96