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Found 127 results
  1. Content Article
    This anonymous blog by a doctor examines the link between Covid-19 and cardiovascular disease. The author calls for greater awareness amongst healthcare professionals and the public to reduce the risk of patients experiencing cardiovascular problems during and after Covid-19 infection.
  2. Content Article
    A safety alert from the US Patient Safety Authority and ECRI.
  3. Content Article
    The CVDPREVENT audit contributes to a strategic objective outlined in the NHS Long Term Plan to prevent 150,000 strokes, heart attacks and cases of dementia over the next ten years. The audit works with system partners to drive cardiovascular disease (CVD) quality improvement. Mary Wills is a patient representative for the CVDPREVENT audit, and in this blog she describes her family's experience of CVD and why she was keen to get involve in CVDPREVENT. She talks about the value of hearing from other patients and carers in the first Patient Panel meeting and being invited to contribute to CVDPREVENT Steering Group meetings.
  4. Content Article
    Our understanding of race and human genetics has advanced considerably, yet these insights have not led to clear guidelines on the use of race in medicine. The result is ongoing conflict between the latest insights from population genetics and the clinical implementation of race. For example, despite mounting evidence that race is not a reliable proxy for genetic difference, the belief that it is has become embedded, sometimes insidiously, within medical practice. One subtle insertion of race into medicine involves diagnostic algorithms and practice guidelines that adjust or “correct” their outputs on the basis of a patient’s race or ethnicity. Physicians use these algorithms to individualise risk assessment and guide clinical decisions. By embedding race into the basic data and decisions of health care, these algorithms propagate race-based medicine. Many of these race-adjusted algorithms guide decisions in ways that may direct more attention or resources to white patients than to members of racial and ethnic minorities. To illustrate the potential dangers of such practices, Vyas et al. have compiled a partial list of race-adjusted algorithms.
  5. Content Article
    The coronavirus has caused significant disruption to NHS services, which may have been particularly felt by those with a long-term condition. Rachel Hutchings takes a closer look at what it’s been like for people living with heart disease, and stresses the importance of understanding patients’ experiences as we head towards winter with a second wave underway.
  6. Content Article
    Effective teamwork is critical to successful outcomes in pediatric cardiac surgery. Unfortunately, lapses in professional performance and conduct by those who treat paediatric cardiac patients pose threats to quality and safety. One hallmark of a profession is self regulation. Therefore, healthcare leaders need specific means for identifying and addressing those lapses and indicators of unsafe systems or individuals. This article from Pichert et al. describes an initial “near miss” event involving a paediatric cardiac surgeon. While fictional, the case represents a composite of events involving several paediatric cardiac surgeons who practice at different medical centers throughout the US.
  7. Content Article
    Half of COVID-19 patients who received a heart scan in hospital showed abnormalities in heart function, according to new research funded by the British Heart Foundation. In this study, Dweck et al. describe the cardiac abnormalities in patients with COVID-19 and identify the characteristics of patients who would benefit most from echocardiography.
  8. Content Article
    Venous thromboembolism (VTE) is an international patient safety issue and a clinical priority for the NHS. Around half of all cases of VTE are associated with hospitalisation, with many events occurring up to 90 days after admission. It is a leading and preventable cause of death in an estimated 25,000 of hospitalised patients each year.
  9. Content Article
    Patient advocate Vonda Vaden Bates interviews Brandyn Lau, Assistant Professor of Radiology and Health Sciences Informatics, Johns Hopkins School of Medicine, around the importance of venous thromboembolism (VTE) prophylaxis for hospitalised patients.
  10. Content Article
    Coroners have a statutory duty to issue a Prevention of Further Deaths report to any person or organisation where, in the opinion of the coroner, action should be taken to prevent future deaths.  This is a coroner's report into the death of 35 year-old Mr Mitica Marin. It was found that the defibrillator was set to manual mode, which  meant that staff were not automatically alerted to the fact that Mitica's heart had a shockable rhythm. This caused a delay to Mr Marin receiving CPR treatment.
  11. Content Article
    More women than men die annually from ischaemic heart disease (IHD) in the developed world. This represents a reversal of fortune from previous decades and places women firmly as the new majority now impacted. Notably, the adverse IHD gender gap is the widest in relatively young women, where myocardial infarction (MI) mortality is 2-fold higher in women under 50 years compared with age-matched men. While it is now clear that there are many gender differences in IHD outcomes, including more frequent angina diagnosis, more office visits, more avoidable hospitalisations, higher MI mortality, and higher rates of heart failure in women compared with men, the aetiologies contributing to these differences are less clear.
  12. Content Article
    In this blog, published by Physician-Patient Alliance for Health & Safety, Drs. Nidhi Madan and Annabelle Volgman discuss why early detection of atrial fibrillation can lead to a significant reduction of morbidity and mortality.
  13. Content Article
    The PatientSafe Network is a registered non for profit charity in Australia. It has been developed by front line healthcare staff and is for anyone who wants to improve patient safety. Their combined commitment is to improve patient safety through the transparent review of medical mistakes and the generation of transparent networked projects. Hundreds of patients die every year from avoidable central line related air emboli. This animation explains what air emboli are and how they may be avoided.
  14. Content Article
    This investigation was prompted by evidence given to the Bristol Royal Infirmary Inquiry which spoke of the benefits of retaining hearts for the purpose of study and teaching and identified Alder Hey as holding the largest collection. Previously, the Director of the Association of Community Health Councils had expressed concerns about contraventions of the Human Tissue Act 1961 to the then Secretary of State for Health.
  15. Content Article
    Following the inquest into the death of former patient Amy Allan and the subsequent Preventing Future Deaths report given to Great Ormond Street Hospital for Children, Chief Executive Matthew Shaw would like to outline how the hospital is learning from this and what action has been taken to address the concerns that have been raised.
  16. Content Article
    This case story highlights the missed opportunities that could have prevented a cardiac arrest and subsequent severe hypoxic brain injury in an intensive care patient. 
  17. Content Article
    Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
  18. Content Article
    This handbook is for commissioners, providers and those leading the local transformation of cardiology elective care services. It describes what local health and care systems can do to transform cardiology elective care services at pace, why this is necessary and how the impact of this transformation can be measured. The Elective Care Transformation Programme is leading transformative change on these and other areas to make sure patients needing planned care see the right person, in the right place, first and every time, and get the best possible outcomes, delivered in the most efficient way.
  19. Content Article
    The perspective of Megha Prasad, a New York cardiologist leading a COVID-19 infections disease service, discusses leadership qualities of being available, communication, adaptability, humility and gratitude as key to effective leadership during challenging times.
  20. Content Article
    COVID-19 rehabilitation will improve exercise tolerance, muscle strength, and help patients manage breathlessness, and potentially allow someone to be discharged earlier. The treatments in this guide, produced by Liverpool Heart and Chest Hospital, focus on breathing, functional and physical exercises. Only complete exercises at home and in hospital that have been discussed with a clinician.
  21. Content Article
    The Royal College of Anaesthetists (RCoA) and the Difficult Airway Society (DAS) have collaborated to create the video resource Capnography: No Trace = Wrong Place.  Presented by Professor Tim Cook, the video shares the important message that during cardiac arrest, if a capnography trace is completely flat, oesophogeal intubation should be assumed until proven otherwise. 
  22. Content Article
    Blog from Ken Spearpoint on the aerosol generating procedures in cardiopulmonary resuscitation in Covid-19 patients. Ken is a Lecturer in Post Graduate Medicine at the University of Hertfordshire and critical care nurse for the match day medical team at Millwall FC,
  23. Content Article
    The president of the Vascular Society of Great Britain and Ireland, Chris Imray, has issued a letter to Vascular Society members on the COVID-19 virus and vascular surgery, offering “general principles” on vascular patients and COVID-19, elective surgery and outpatients, urgent vascular surgery, trainees, other specialities, the appropriate use of scarce resources, documentation, personal safety, mental health and burnout, research, clinical training/education, and audit. Imray stresses that “local decision making is key.
  24. Content Article
    COVID-19 is an illness that can affect your lungs and other parts of the respiratory system. The main symptoms of the disease are fever, cough, and shortness of breath. Most people will have mild symptoms and recover without having to go to the hospital, but the virus can cause severe illness with complications such as pneumonia and even death. People who are at higher risk of these complications include those with heart disease, lung disease, and those who are older than 65. People with high blood pressure also appear to be at higher risk, according to early research from China. More research is needed to understand whether high blood pressure alone increases risk. CardioSmart (Amercian College of Cardiology) have put together resources and updates about how COVID-19 affects patients with heart conditions. 
  25. Content Article
    Nationally, it is estimated that nearly 1.4 million people in the UK are affected by atrial fibrillation (AF), and a quarter of these people are unaware that they have AF. AF causes an irregular or abnormally fast heart rate. It increases the risk of stroke by up to five times, with about 12,500 strokes per year directly attributed to AF. Recognising and receiving proper treatment for AF is important because the strokes due to AF are often more severe, with a survival rate of only 50 per cent and a risk of increased disability among those who do survive, compared to those who have a non-AF related stroke. At the age of 40, we all have a one in four lifetime risk of developing AF. Eleven AHSNs have contributed to the detection of 365 patients with undiagnosed atrial fibrillation, in one year. This means that the equivalent of one stroke per day has been prevented by this work, saving lives, reducing disability, and saving almost £8.5 million to the NHS and social care.
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