Cardiology Guidelines by Leicester’s hospitals

The Leicester Hospitals Trust Cardiology Guidelines are a set of recommendations for the diagnosis and management of heart conditions. They are based on the latest evidence and are designed to help clinicians provide the best possible care for their patients.

The guidelines cover a wide range of topics, including:

• Acute coronary syndromes (ACS)
• Atrial fibrillation
• Heart failure
• Valvular heart disease
• Arrhythmias
• Lipids and cholesterol
• Hypertension
• Diabetes and heart disease
• Pregnancy and heart disease
• Cardiovascular disease in older people

The guidelines are regularly reviewed and updated to ensure that they reflect the latest evidence. They are an essential resource for all clinicians involved in the care of patients with heart disease.

Here are some of the key recommendations from the Leicester Hospitals Trust Cardiology Guidelines:

• ACS: Patients with ACS should be treated with aspirin, clopidogrel or ticagrelor, and a statin. They should also be considered for early coronary angiography and percutaneous coronary intervention (PCI).
• Atrial fibrillation: Patients with atrial fibrillation should be treated with anticoagulants to reduce their risk of stroke. They may also need to be treated with anti-arrhythmic drugs to control their heart rate.
• Heart failure: Patients with heart failure should be treated with ACE inhibitors or ARBs, beta-blockers, and diuretics. They may also need to be treated with other medications, such as aldosterone antagonists and angiotensin receptor-neprilysin inhibitors (ARNI).
• Valvular heart disease: Patients with valvular heart disease may need surgery or transcatheter aortic valve implantation (TAVI) to repair or replace their damaged valve.
• Arrhythmias: Patients with arrhythmias may need to be treated with anti-arrhythmic drugs, cardioversion, or ablation.
• Lipids and cholesterol: Patients with high cholesterol should be treated with a statin to reduce their risk of heart disease.
• Hypertension: Patients with hypertension should be treated with lifestyle changes, such as weight loss, exercise, and a healthy diet. They may also need to be treated with antihypertensive medications.
• Diabetes and heart disease: Patients with diabetes and heart disease should be treated with lifestyle changes and medications to control their blood glucose levels and other risk factors for heart disease.
• Pregnancy and heart disease: Pregnant women with heart disease should be closely monitored and managed by a team of specialists.
• Cardiovascular disease in older people: Older people with cardiovascular disease are at increased risk of complications. They should be carefully assessed and managed to reduce their risk.

The Leicester Hospitals Trust Cardiology Guidelines are an essential resource for all clinicians involved in the care of patients with heart disease.