By Catriona Jennings, Alison Mead, Jennifer L Jones, Annie Holden, Susan Connolly, Kornelia Kotseva, David Wood

Heart problems is the most reason for loss of life throughout Europe, accounting for over 4 million deaths every year. the most targets of preventive cardiology are to extend the period and increase the standard of a patient's existence, and this indispensible guide presents useful suggestion on find out how to constitution and run a preventive cardiology programme, addressing the prevention of heart problems in medical perform via way of life, possibility issue and healing administration of sufferers.

The method defined during this handbook is for sufferers with atherosclerotic heart problems, these at excessive hazard of constructing heart problems and likewise for his or her households to supply the proper help. it's written by means of the multidisciplinary workforce who coordinated the EUROACTION demonstration venture in preventive cardiology in eight nations in Europe, and gives a complete way of life and cardiovascular possibility issue administration approach for all excessive possibility sufferers and their households. it's directed at medical professionals, nurses, dietitians and physiotherapists, actual job experts and different disciplines keen on the preventive and rehabilitative care of those sufferers.

The guide takes the pro during the sufferer and kin pathway - from sufferer identity, recruitment of sufferer and relations, accomplished evaluate of way of life and cardiovascular hazard components, to administration of way of life switch: preventing smoking, making fit nutrients offerings, changing into bodily lively, attaining a fit weight and form and administration of blood strain, blood lipids and blood glucose to fit degrees. A programme version is defined such as either workforce and person one-to-one ways to care. The function of every member of the multi-disciplinary staff is defined including the instruments to be had to accomplish way of life and threat issue switch.

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The practicalities of recruitment Patients with symptomatic atherosclerotic disease Diagnostic categories • Acute coronary syndrome (ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI); acute myocardial ischaemia). • Exertional angina. • Transient ischaemic attack (TIA). • Peripheral arterial disease (PAD). Where from? g. cardiac catheterization, cardiology, and cardiac surgery units). • Acute coronary syndrome nurse. • Rapid access chest pain clinic. • Hospital or community based TIA or vascular clinic.

G. g. cardiology clinics), primary care practices, and other necessary services to identify and recruit patients and families to the programme; proactive identification and recruitment to the programme of all eligible patients and their families. • Provide cardiovascular nursing expertise. • Provide individual nursing assessment of patients and families for cardiovascular risk factors at the start and end of the programme and for long-term follow up. • Provide one-to-one support to patients and families as required.

1997). Concordance of changes in coronary risk and risk factor levels in couples following lifestyle intervention in the British Family Heart Study. Archives of Family Medicine, 6(4), 354–60. , and Campbell, M. (1997). Women married to men with myocardial infarction are at increased risk of coronary heart disease. Journal of Cardiovascular Risk, 4, 7–11. 17 This page intentionally left blank Chapter 2 The nurse-led multidisciplinary team The core team in a preventive cardiology programme 20 The role of the nurse in a preventive cardiology programme 24 The role of the dietitian and physiotherapist in a preventive cardiology programme 26 Role of the cardiologist, general practitioner, and other physicians 28 Input of other disciplines to the preventive cardiology programme 30 Conclusion 32 19 20 CHAPTER 2 The nurse-led multidisciplinary team The core team in a preventive cardiology programme A team by definition is a group of people working toward a common goal.

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