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Found 88 results
  1. Event
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    What does it take to successfully implement an award-winning virtual ward? This webinar from GovConnect looks at Leicester Glenfield’s AF virtual ward for cardiovascular disease monitoring and uncovers how the ward was built, assesses the patient recruitment process and explores the meaningful relationships made along the way. Stella Vig will speak to the pioneering clinicians behind the award-winning virtual ward to discuss how they created a secure clinical pathway centred around patients to deliver ground-breaking virtual care. The webinar will increase understanding of the benefits and insights of patient engagement in integrated care and how it can lead to effective digital transformation. It will also explore how medical data was gathered using transformative tech-enabled devices, the challenges and results of a multidisciplinary approach, and the technologies available to support remote patient monitoring. In the webinar you will learn about: How to implement a successful, secure, and scalable virtual ward The challenges and results of a multidisciplinary approach The technology available to support patients from the comfort of their home Register for the webinar
  2. Content Article
    This study in the Journal of Medical Virology aimed to assess the extent and the disparity in excess acute myocardial infarction (AMI)-associated mortality during the pandemic, focusing on the outbreak of the Omicron strain. Using data from the US Centers for Disease Control and Prevention's (CDC's) National Vital Statistics System, the authors found that excess death, defined as the difference between the observed and the predicted mortality rates, was most pronounced for the 25–44 years age group. Excess deaths ranged from 23%–34% for the youngest compared to 13%–18% for the oldest age groups. The trend of mortality suggests that age and sex disparities have persisted even through the Omicron surge, with excess AMI-associated mortality being most pronounced in younger-aged adults.
  3. Content Article
    Publicly available data from the Office for Health Improvement and Disparities (OHID) shows a persistently high number of excess deaths involving cardiovascular disease (CVD) in England since the beginning of the pandemic. This analysis of by the British Heart Foundation looks at this situation in more detail.
  4. Content Article
    Community public access defibrillators (CPADs) contain an automated electronic device (AED) that, in the event of a sudden out of hospital cardiac arrest, can provide lifesaving treatment by delivering an electric shock to the heart. CPADs can be found in public areas such as disused telephone boxes or community centres, and often the defibrillators are locked and a special code is needed to open the unit. In this blog, Sharon Perkins, HSIB Maternity Investigator, looks at the issues surrounding the accessibility of CPADs. During the course of a maternity investigation, the HSIB team became aware of instances where access to CPADs had been restricted by their location and lack of registration.
  5. Content Article
    The National Vascular Registry (NVR) has published a report on the impact of the Covid-19 pandemic on vascular surgery in the UK, presenting key findings from NVR data throughout 2020 and 2021. NVR previously reported on data as at 25 September 2020, which showed that Covid-19 infection in patients undergoing vascular surgical procedures significantly increased the risk of respiratory complications and mortality. Here, they update this analysis, using data through to the end of 2021, and explore whether the Covid-19 vaccination programme provided protection to patients against this life-threatening complication. One finding is that, between March 2020 and Dec 2021, confirmed postoperative Covid-19 diagnoses were most common among non-elective procedures, ranging from 18.4% (non-elective AAA repair) to 27.5% (major lower limb amputation). For elective procedures, the reported rates of confirmed postoperative Covid-19 diagnoses were lower, ranging from 1.6% (elective AAA repair) to 4.1% (lower-limb bypass). Other key findings include: There was only a modest rise during the first Covid-19 wave (Mar-Jun 2020) with a larger rise during the second wave (Nov 2020-Feb 2021) There was a different pattern for respiratory complications after surgery, with higher rates observed in both wave 1 and wave 2 The period from March to December 2021 was associated with rates of respiratory complications and in-hospital postoperative mortality returning to levels observed pre-pandemic in 2019 Overall, the report concludes that the vaccination programme had a modest benefit to patients in reducing the risk of respiratory complications, and therefore carries a public health message relevant for both national and international audiences.
  6. Content Article
    European guidelines advise that patients suffering ST-segment elevation myocardial infarction (STEMI) should be revascularised within 120 minutes of diagnosis. The preferred method of revascularization is primary percutaneous coronary intervention (pPCI). This study in BMJ Heart analysed the Northern Irish STEMI database to establish the proportion of pPCI delivered within the recommended treatment window. It aimed to determine whether there was any difference in long-term survival for patients treated beyond the recommended time window. The authors found that delays that result in primary PCI beyond 120 minutes from diagnostic ECG are associated with a significantly increased risk of mortality following STEMI in Northern Ireland.
  7. Content Article
    This WHO report includes six case studies from 12 individuals with lived experience of diverse health conditions. These case studies explore the topics of power dynamics and power reorientation towards individuals with lived experience; informed decision-making and health literacy; community engagement across broader health networks and health systems; lived experience as evidence and expertise; exclusion and the importance of involving groups that are marginalized; and advocacy and human rights. It is the first publication in the WHO Intention to action series, which aims to enhance the limited evidence base on the impact of meaningful engagement and address the lack of standardized approaches on how to operationalise meaningful engagement. The Intention to action series aims to do this by providing a platform from which individuals with lived experience, and organisational and institutional champions, can share solutions, challenges and promising practices related to this cross-cutting agenda.
  8. Content Article
    This decision aid from the National Institute for Health and Care Excellence (NICE) can help you if you are thinking about taking a statin. It is for people who do not already have heart disease and have not had a stroke. You can use it to help you to talk about your options with your healthcare professional (such as your doctor, pharmacist or nurse).
  9. Content Article
    In this presentation from the AD Awareness Day UK 2018, Dr Emma Redfern and Prof Mark Callaway provide a Masterclass in diagnosing aortic dissection in the emergency setting.
  10. Content Article
    Help raise awareness of Aortic Dissection. Download a free poster, leaflet and screensaver from the THINK AORTA campaign and use them in hospital Emergency Departments, Radiology Departments, Ambulance Stations - anywhere healthcare professionals who might see an Aortic Dissection patient can be found.
  11. News Article
    Even a mild case of COVID-19 can increase a person’s risk of cardiovascular problems for at least a year after diagnosis, a new study1 shows. Researchers found that rates of many conditions, such as heart failure and stroke, were substantially higher in people who had recovered from COVID-19 than in similar people who hadn’t had the disease. What’s more, the risk was elevated even for those who were under 65 years of age and lacked risk factors, such as obesity or diabetes. “It doesn’t matter if you are young or old, it doesn’t matter if you smoked, or you didn’t,” says study co-author Ziyad Al-Aly at Washington University in St. Louis, Missouri, and the chief of research and development for the Veterans Affairs (VA) St. Louis Health Care System. “The risk was there.” People who had recovered from COVID-19 showed stark increases in 20 cardiovascular problems over the year after infection. For example, they were 52% more likely to have had a stroke than the contemporary control group, meaning that, out of every 1,000 people studied, there were around 4 more people in the COVID-19 group than in the control group who experienced stroke. The risk of heart failure increased by 72%, or around 12 more people in the COVID-19 group per 1,000 studied. Hospitalization increased the likelihood of future cardiovascular complications, but even people who avoided hospitalization were at higher risk for many conditions. “I am actually surprised by these findings that cardiovascular complications of COVID can last so long,” Hossein Ardehali, a cardiologist at Northwestern University in Chicago, Illinois, wrote in an e-mail to Nature. Because severe disease increased the risk of complications much more than mild disease, Ardehali wrote, “it is important that those who are not vaccinated get their vaccine immediately”. Read full story Source: Nature, 10 February 2022
  12. News Article
    Experts have estimated that almost 300,000 people in Britain could have a potentially deadly heart valve disease called aortic stenosis - including almost 100,000 who are unaware they have it. The condition carries a high death rate if left untreated and occurs when the main valve which takes blood from the heart stiffens and narrows. Many people do not know they have the disease and only discover they do when it is too late for treatment. An international team of scientists, including experts from the Universities of Glasgow and Southampton, set out to research the extent of the disease in the UK. Their study, published in the journal Open Heart, estimated that in the UK in 2019 there were 291,448 men and women aged 55 and over with severe aortic stenosis. Of these, an estimated 68 per cent would have symptoms. This means an estimated 92,389 people have the disease and do not know it. The authors went on to estimate that more than 172,000 (59%) who have the disease will “die within five years without proactive management”. They concluded that aortic stenosis is a “common condition” in the UK but warned that “without appropriate detection and intervention, survival prospects are likely to be poor”. Read full story Source: The Independent, 25 January 2022
  13. News Article
    A US hospital has rejected a patient for a heart transplant at least in part because he is not vaccinated against COVID-19. DJ Ferguson, 31, is in dire need of a new heart, but Brigham and Women's Hospital in Boston took him off their list, said his father, David. He said the Covid vaccine goes against his son's "basic principles, he doesn't believe in it". The hospital said it was following policy. Brigham and Women's Hospital told the BBC in a statement: "Given the shortage of available organs, we do everything we can to ensure that a patient who receives a transplanted organ has the greatest chance of survival." A spokesman said the hospital requires "the Covid-19 vaccine, and lifestyle behaviours for transplant candidates to create both the best chance for a successful operation and to optimise the patient's survival after transplantation, given that their immune system is drastically suppressed". The hospital's carefully worded statement may suggest other factors lie beyond the patient's unvaccinated status for his ineligibility, but it refused to discuss specifics, citing patient privacy. Dr Arthur Caplan, head of medical ethics at NYU Grossman School of Medicine, told CBS News that after any organ transplant a patient's immune system is all but shut down and even a common cold can prove fatal. "The organs are scarce, we are not going to distribute them to someone who has a poor chance of living when others who are vaccinated have a better chance post-surgery of surviving," said Dr Caplan. Read full story Source: BBC News, 26 January 2022
  14. News Article
    An ambulance trust has apologised after a man having a heart attack said he was advised to get a lift to hospital or face a long wait. Graham Reagan said he was on the verge of collapsing when he finally got to York hospital after a lift from his son. Mr Reagan said he was concerned about the impact on patients with potentially life-threatening conditions. Speaking to BBC Yorkshire and Lincolnshire's Politics North programme, Mr Reagan described his experience as "scary". "I'd had indigestion, or so I thought, for a couple of days, and then on 17 December I went to bed early feeling rough," he said. In the early hours, Mr Reagan said the pains in his chest grew worse and he asked his wife to call for an ambulance. "I couldn't take it any more," he said. Mr Reagan, from Malton in North Yorkshire, said his wife was asked "can you get to hospital" as the nearest ambulance was about 20 to 30 miles away. "My wife doesn't drive, but fortunately my son was with us and he drove me to York hospital." On arrival Mr Reagan said they found the entrance to A&E had also been re-routed. "So, we then had to walk out of the hospital grounds and back in - by which time I'm collapsing," he added. He said staff at the hospital were "absolutely brilliant" and arranged for him to be transferred to Hull for treatment after a heart attack was confirmed. However, he said he was faced with a further 35-minute delay while he waited for an ambulance to take him. Mr Reagan said he wanted to share his experience to raise awareness. Read full story Source: BBC News, 16 January 2022
  15. News Article
    Patients with life-threatening coronary heart disease will be treated five times faster thanks to 3D scans being introduced on the NHS that allow for a diagnosis in just 20 minutes. The revolutionary technology can turn a regular CT scan of the heart into a 3D image, allowing doctors to diagnose them rapidly, NHS England said. It added that about 100,000 people will be eligible to use the HeartFlow technology over the next three years. Patients – who would previously have had to undergo an invasive and time-consuming angiogram in hospital – will now be seen, diagnosed and treated around five times faster. The new technology, introduced from last month, is part of the NHS long-term plan to cut the number of heart attacks and strokes by 150,000. NHS England said more people here will have access to the potentially life-saving technology than anywhere else in Europe, the US or Japan. Matt Whitty, director of innovation and life sciences for NHS England, said HeartFlow had been a “huge success” in clinical trials and would now help “tens of thousands of people a year receive quick diagnosis and treatment and ultimately save lives”. Read full story Source: The Guardian. 4 May 2021
  16. News Article
    There has been a sharp drop in the number of patients admitted to hospitals in England with heart attacks or heart failure in recent months, research reveals. Experts are worried that people who need urgent medical help are not seeking it. This was also the case during the first wave of the pandemic. The researchers included 66 hospitals in the study and compared daily admission rates in the year before the pandemic with those during the first and second waves in England, up to 17 November. During the first lockdown, daily admissions for heart attacks or heart failure decreased by more than 50%. They went up again in the summer, as coronavirus rates decreased in the UK and the NHS became less busy with the virus. From October, when coronavirus cases were rising again, heart admissions began to drop - by between 35% and 41% compared with pre-pandemic data, according to the study published in the Journal of the American College of Cardiology. Researcher Prof Chris Gale, from Leeds University, said: "Medical emergencies do not stop in a pandemic. I am afraid that we are seeing a re-run of one of the preventable tragedies of the first wave - people were either too afraid to go to hospital for fear of contracting COVIDd-19 or were not referred for treatment." "The message to patients needs to be clear. If they experience symptoms of a heart attack or acute heart failure, they need to attend hospital." Read full story Source: BBC News, 20 January 2021
  17. News Article
    A new study by Staffordshire University shows that people who understand their ‘heart age’ are more likely to make healthy lifestyle changes. 50 preventable deaths from heart attack or stroke happen every day and Public Health England’s online Heart Age Test (HAT) allows users to compare their real age to the predicted age of their heart. The tool aims to provide early warning signs of cardiovascular disease (CVD) risk, encouraging members of the public to reduce their heart age through diet and exercise and to take up the offer of an NHS Health Check. CHAD Research Associate Dr Victoria Riley, who led the study, said: “Deaths from heart attack or stroke are often preventable and so addressing health issues early is incredibly important. Our findings show that pre-screening tests, such as the HAT, can encourage individuals to evaluate their lifestyle choices and increase their intentions to change behaviour.” Read full story Source: Brigher Side of News, 10 October 2021
  18. News Article
    A new study has found stress in the workplace could be leading women suffering from warning signs of heart disease. These signs included work-related stress, sleep disorders, and tiredness - which are important but non-traditional risk factors for having a heart attack or a stroke. Dr Wagner, a neurology professor at the University of Zurich, said "Traditionally men have been perceived to be more affected by heart attacks and strokes than women, but in some countries, women have overtaken men. There is a gender gap and further research is needed to find out why”. Read full story. Source: The Independent, 31 August 2021
  19. News Article
    In an effort to tackle heart problems, a new NHS scheme will be rolled out in pharmacies where patients over 40 will be able to have their blood pressure checked. The scheme, set to begin checks from October in some 11,300 pharmacies across England, will also give patients clinical and lifestyle advice or referred to treatment where necessary when getting their blood pressure checked. Helen Williams, national speciality adviser for Cardiovascular Disease Prevention at NHS England and NHS Improvement, said: “As a pharmacist, I am delighted that this service is being rolled out across England. Community pharmacies are ideally placed to deliver blood pressure checks, being accessible within local communities and regularly used by most adults. This service will enable people with high blood pressure to be identified and treated early and will encourage conversations about lifestyle change to help people live healthy lives for longer.” Read full story. Source: The Independent, 24 August 2021
  20. News Article
    A new study has found night shifts are "significantly associated" with health issues related to the heart, particularly atrial fibrillation, finding that women may be at a greater risk. The research, published in the European Heart Journal also found working night shifts is linked to an increased risk of coronary heart disease (CHD). “Night shift exposure also increased the risk of CHD (coronary heart disease) but not stroke or HF (heart failure). Whether decreasing night shift work frequency and duration might represent another avenue to improve heart health during working life and beyond warrants further study,” the paper said. Read full story. Source: The Independent, 16 August 2021
  21. News Article
    It has been recommended by UK researchers that patients, regardless of their metabolic rate, should be given weight management advice as people with obesity were still at risk of diabetes, cardiovascular and respiratory diseases. A recent study found that regardless of your metabolic rate, it did not necessarily mean that the patient with obesity were healthy and that doctors should avoid using the term “metabolically healthy obesity” as it could be misleading. Read full story. Source: Nursing Times, 11 June 2021
  22. Event
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    Collaboration to deliver NHS Long Term Plan goals on CVD and Population Health Management A novel injectable treatment for people at risk of cardiovascular disease is being made available to patients more quickly, thanks to a three-way agreement between NHS England and NHS Improvement, the AHSN Network and the pharmaceutical company, Novartis. Inclisiran is the first of a new type of cholesterol-lowering therapy, which uses RNA interference (RNAi) to boost the liver’s ability to remove harmful cholesterol from the blood. It can be given to people with high cholesterol who have already had a previous cardiovascular event to reduce the chances of them having another. This webinar will introduce this innovative injectable therapy, explore it’s its place on the treatment pathway, and how it can support both the NHS Long Term Plan dual ambitions of reducing cardiovascular disease and through Population Health Management. Register for the webinar
  23. Event
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    CVDPREVENT will provide a foundation for professionally-led quality improvement in individual GP practices across Primary Care Networks (PCNs). It will support primary care in understanding how many patients with CVD and/or the six main high-risk conditions are potentially undiagnosed, or under or over treated. These include atrial fibrillation, high blood pressure, high cholesterol, diabetes, non-diabetic hyperglycaemia and chronic kidney disease. The audit will provide data to highlight gaps, identify inequalities, and opportunities for improvement. This event will be the first publicised presentation of the CVD publication, being presented live by Dr Pete Green, Clinical Lead CVD Prevent & Chair, Heart UK. This event has been sponsored by Daiichi Sankyo UK. This webinar is for Govconnect registered members who are UK healthcare professionals and allied personnel in commissioning, AHSN and health policy only. Speakers: Dr Yassir Javaid, Clinical Advisor for Cardiology, Royal College of GPs Dr Pete Green, Clinical Lead CVD Prevent & Chair, Heart UK Vishal Mashru, Head of Medicines & Research, Cross Counties & North Blaby PCN Dr Ravi Pawa, Country Medical Director, Daiichi Sankyo Register
  24. Event
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    At a time when deaths from coronary heart disease and stroke are markedly declining, despite the COVID-19 pandemic, deaths from heart failure are increasing. The management of this devastating long-term condition is estimated to account for 2% of the entire NHS budget, with 70% of this spent on acute hospital admissions. Both prevalence and incidence of heart failure increase steeply with increasing age and with deprivation but outcomes for patients are improved with earlier diagnosis and treatment. Join the King's Fund for this free online event, where we will consider how heart failure is a growing population health problem and the solutions to help overcome the challenges this condition presents. These include preventing the underlying causes of heart failure, as well as identifying risk factors for the condition, such as access to diagnosis, particularly for older people and those from more deprived communities. Register
  25. Event
    Poor lifestyle choices are leading to a rapid growth in non-communicable diseases, resulting in increased healthcare expenditure, preventable morbidity, and premature deaths. The increasingly sedentary nature of our lifestyles, which can lead to obesity or being overweight, has contributed to growth in the numbers suffering from type 2 diabetes and heart disease. Prevention and effective management of long-term conditions is likely to be more cost effective than treating the illnesses as they occur. This webinar will highlight how behaviour change can reduce the likelihood of becoming obese, becoming type 2 diabetic, or suffering from heart disease. The session will look at recommendations around four key health and wellness pillars; activity, sleep, stress and nutrition and how achieving balance across them can help prevent some non-communicable diseases. It will explore ‘social prescriptions’ and the role they can play to help those at risk of, or suffering from these diseases to actively participate in their own health and care. Additionally, it will consider how remote patient monitoring can help proactively manage these patient populations outside of primary and secondary care environments, reducing the burden on NHS resources. Register
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