Adherence to treatment in Peripheral Artery Disease Smaragda Lampridou looks at how patients can manage this increasingly prevalent condition Managing hypertension in older people: A guide for nurses Linda Nazarko outlines how to diagnose and effectively treat the ‘silent killer’ in older patients Long COVID – what should general practice nurses be doing? As the number of people being vaccinated against coronavirus increases and we begin to see a light at the end of the coronavirus tunnel, the spectre of long COVID is likely to be the next coronavirus-related issue to impact on the NHS Hypertension – what’s new from NICE’s updated guidance? Beverley Bostock-Cox looks at the latest guidelines on the management of this condition 1 comment Primary care management following an acute myocardial infarction David Warriner and Mohanned Al-Matok explain how to treat a patient who has returned from acute care Hypertension – the present and the future for diagnosis Beverly Bostock-Cox details developments in the diagnosis and management of this common condition Latest clinical research Mark Greener presents key studies published in healthcare journals Infections trigger heart attacks Several studies link respiratory tract infections with an increased risk of myocardial infarction Beginning statin therapy With correct assessment, statins are effective preventors of cardiovascular disease, writes Dr Suneeta Kochhar Varenicline is effective in smoking cessation – if patients adhere Varenicline combined with behavioural support helps about half of smokers to quit, new Spanish research suggests Prediabetes increases cardiovascular risk Essentially, prediabetes refers to fasting blood glucose and HbA1c levels that are higher than normal, but are not elevated sufficiently for a diagnosis of diabetes Heart failure in primary care Prognosis has improved but 40% of patients die within a year, writes Suneeta Kochhar Cardiovascular disease in men: An overview for primary care nurses David Warriner explains risk factors, physiological signs, and why heart disease tends to affect men younger Abdominal aortic aneurysms Awareness, monitoring and management explained by Leanne Atkin, Michael van Orsouw and Emma Bond Supporting heart health with exercise It is crucial for nurses to educate patients on the cardiovascular benefits of exercise Atrial fibrillation: An update This form of cardiac arrhythmia may cause as many as 12,500 strokes each year Peripheral arterial disease This underdiagnosed condition is explained by Leanne Atkin, Michael van Orsouw and Emma Bond The importance of gender in CVD Women are more likely to have heart attacks with atypical symptoms, explains Hannah Waterhouse. Saturated fats' link to CVD questioned For decades, nurses told people to eat less saturated fat to lower their risk of heart disease, stroke and diabetes. Benefits of post-Myocardial Infarction adherence Poor adherence to certain cardioprotective drugs – including aspirin and statins – 'is associated with a marked risk increase in all-cause mortality' among people who survived acute myocardial infarction, according to a study that enrolled 4655 patients with a mean age of 66.3 years. Statin prescribing and diabetes A recent guideline underlines the importance of statins in preventing cardiovascular disease in people with diabetes, explains David Morris. COPD increases sudden cardiac death risk Chronic obstructive pulmonary disease (COPD) is associated with approximately 30% increase in the risk of sudden cardiac death (SCD), according to a Dutch study that enrolled 13,471 people aged at least 45 years. Sex and drugs and CVD Some commonly prescribed drugs influence sexual activity, according to a survey of 224 people with cardiovascular disease published in the Journal of the American Association of Nurse Practioners. Easy screen for CVD risk in mentally ill Patients with psychiatric disorders are especially likely to develop cardiovascular disease (CVD), which seems to be the main reason underlying their shorter life expectancy of between 15 and 20 years. Loss of smell predicts death Being unable to identify scents predicts the risk of dying in the next five years more strongly than heart failure, cancer or lung disease, new research shows.