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NSF CHD strategy
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BHF factfiles
Northumberland Heart Health programme
Secondary Prevention - Incorporating the National Service Framework (NSF)
guidelines for Coronary Heart Disease.
Standard three of the NSF guidelines states:
- G.P.s and primary care teams should identify all people with established
cardiovascular disease and offer them comprehensive advice and appropriate
treatment to reduce their risks.
- This includes all patients with Coronary Heart Disease; Angina Pectoris;
Myocardial Infarction; heart failure; atrial fibrillation; stroke;
atherosclerosis/PVD.
Patients should be seen on at least an annual basis and more frequently if
any associated risk factors are not meticulously controlled.
Aims
- To improve the quality of life of patients with CHD.
- To reduce the incidence of heart attacks/strokes.
- To assess patients' health beliefs and enable them to make an informed
choice of healthy lifestyle options.
- smoking
- diet
- weight
- exercise
- alcohol
- To reduce associated risk factors
- Hypertension (Maintain BP below 150/90, but aim for ideal target of
145/85).
- Hyperlipidaemia (Cholesterol less than 5mmol/l; LDL-C below 3)
- Diabetes (check blood glucose)
- To diagnose and treat associated complications
- Cardiac arrhythmias
- end-organ damage eg retinopathy; renal failure; PVD.
- Monitor
- symptom control
- blood pressure
- lipids
- weight (BMI)
- compliance
- exercise
- blood glucose.
- To ensure that recommended therapeutic options have been implemented,
where appropriate.
- aspirin or warfarin
- nitrates
- Beta-blockers for those who have had a MI
- hypotensives
- statins
- ACE inhibitors for those with Left Ventricular systolic dysfunction
- if diabetic - meticulous control of diabetes
Use NSF CHD Sophie to collect data, identify patient information leaflets
required and assist in subsequent management.
Blood test procedures
NSF for coronary heart disease (603K)