News • 14-3-2016

Patients with atrial fibrillation can benefit from yoga

A randomised trial in patients with paroxysmal atrial fibrillation, shows that yoga improves quality of life, when practised in addition to standard medical treatment. Heart rate and blood pressure also decreased in patients who did yoga. Read more

Immediately after moderate and heavy alcohol consumption acute CV risk is increased

8-3-2016 • Mostofsky E et al., Circulation 2016
Moderate alcohol consumption was associated with a higher CV risk in the hour after alcohol intake, and a lower CV risk after 24 hours, while heavy drinking yields continuous CV risk. 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

LDL-c levels of adult children associated with maternal LDL-c levels before pregnancy

9-3-2016 • Mendelson MM et al., JAMA Cardiol 2016
Dyslipidaemia in young adults may affect lipid levels of their offspring, possibly through epigenetic mechanism. More insight in these processes may yield population-based lifestyle strategies. Read more

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

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...