Many CHD patients inadequately treated, statins not prescribed according to guidelines, says EUROASPIRE IV

2-3-2016 • Reiner Ž et al., Atherosclerosis 2016
Data from 6648 CHD patients from 24 countries were analysed to see how well statins are prescribed at discharge and after at least 6 months. Compliance to guidelines varies greatly and is suboptimal. Read more

Adherence to oral anticoagulation affects outcomes in AF patients at high stroke risk

29-2-2016 • Yao et al., J Am Heart Assoc. 2016
In patients with atrial fibrillation, adherence to oral anticoagulation for stroke prevention was modestly improved by the use of NOACs, which impacts mainly the outcomes of high-risk patients. Read more

Primary CV prevention with statins has long term benefit in men with elevated LDL-c

16-2-2016 • Ford I et al., Circulation 2016
Statin treatment as primary prevention of men with elevated LDL-C for 5 years was associated with reduced mortality and cumulative morbidity after 20 years in the WOSCOPS trial. Read more

Women have worse outcomes associated with atrial fibrillation than men

9-2-2016 • Emdin CA, et al. BMJ 2016
A meta-analysis shows that atrial fibrillation is associated with an increased risk of morbidity and mortality in women compared with men. Read more

Polypharmacy in patients with AF can increase bleeding risk

2-2-2016 • Piccini JP et al., Circulation 2016
The risk of major bleeding with rivaroxaban compared with warfarin was reduced in patients in ROCKET-AF taking fewer than 5 medications, but not in patients taking 5 or more medications, whereas the risk of stroke was not influenced by multiple medications. Read more

Prediction of readmissions of heart failure patients not improved by self-reported risk factors

27-1-2016 • Krumholz HM et al. J Am Coll Cardiol HF 2016
Self-reported socioeconomic, health status, adherence, and psychosocial variables, on top of traditional demographic and clinical variables, failed to improve the predictive accuracy of readmission risk for patients with heart failure. Read more

After stroke, focus on active BP management rather than a specific SBP target

1-3-2016 • Mant et al., BMJ 2016
In patients with a history of stroke or TIA, the SBP target of <130 mmHg rather than 140 mmHg yielded only a small additional reduction in BP. Read more
News • 22-2-2016

Emergency care for patients with acute heart failure: first European advice

Paper gives guidance for discharge from emergency department or admission to hospital. Read more
E-Learning •

Heart failure diagnosis and management

EPCCS 2015 Clare Taylor (Birmingham, United Kingdom) questions Frans Rutten (Utrecht, The Netherlands), who gave an update on the evidence base for HF diagnosis and management in the guideline. They discuss how patients with HF can be identified and managed in Primary Care. Read more

Women who have difficulty sleeping are at higher risk of developing type 2 diabetes

8-2-2016 • Li Y et al., Diabetologia 2016
This finding can only be partially explained by associations with hypertension, BMI and depression, and supports the need to manage sleep disorders for the prevention of type 2 diabetes. Read more

Pulse pressure may be useful in CV risk stratification

1-2-2016 • Selvaraj S et al., J Am Coll Cardiol 2016
High pulse pressure was associated with increased risk for CV death, MI, stroke, and CV hospitalisation, in subjects with established atherosclerosis or at risk, irrespective of mean arterial pressure. Read more
News • 26-1-2016

AHA review of evidence sex-specific characteristics of acute MI in women

CVD morbidity and mortality in women is higher than in men, but CHD remains underdiagnosed and undertreated in women. This statement reviews the available evidence on sex-specific characteristics and mechanisms of AMI in women. Read more

Upcoming meetings

Meeting reports & resources

EPCCS 2017 Report of the Cardiovascular Summit held in Dublin, Ireland
EPCCS Guidance Documents Evidence- and meeting-based guidance for primary care
EPCCS 2015 Report of 8th Annual EPCCS meeting held in Prague.
EPCCS 2014 Report of 7th Annual EPCCS meeting held in Brussels.
All meeting reports...