The Heart of the Matter (Part 1): NICE Guidelines on CVD risk reduction and Lipid Modification
For the NICE guidance on cardiac chest pain video:
• • NICE on Cardiac Chest Pain: A Quick Guide ...
For the NICE management of stable angina video:
• • Latest from NICE on Angina: see it on a Ch...
This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
My name is Fernando Florido, and I am a General Practitioner in the United Kingdom. In this episode, I review the NICE guideline “Cardiovascular disease: risk assessment and reduction, including lipid modification” [NG238], published on 14 December 2023, focusing on what is relevant in Primary Care only. In this episode I cover CV risk assessment, recommendations for specialist referral and considerations before starting statin therapy. In the next episode I will cover the rest of the guideline including primary and secondary prevention, assessing response to treatment, optimising therapy and what to do when statins are contraindicated or not tolerated.
For a refresher on the NICE guidance on cardiac chest pain and the management of stable angina, please refer to the corresponding episodes on this channel. The links are shown above.
I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the information consulted. You must always use your clinical judgement.
Tracks:
00:00 – Introduction and welcome
00:56 – CVD risk assessment
04:42 – Lifestyle advice
05:17 – Initial assessment
05:36 – Referral recommendations
08:49 – Statin advice
11:11 – Thank you and good-bye
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
• Redcircle: https://redcircle.com/shows/primary-c...
• Spotify: https://open.spotify.com/show/5BmqS0O...
• Apple podcasts: https://podcasts.apple.com/gb/podcast...
There is a YouTube version of this and other videos that you can access here:
• The Practical GP YouTube Channel:
/ @practicalgp
The resources consulted can be found here:
The NICE guideline “Cardiovascular disease: risk assessment and reduction, including lipid modification” [NG238] Published: 14 December 2023 can be found here:
• https://www.nice.org.uk/guidance/ng238
The online version of QRISK3 can be found here:
• https://qrisk.org/
The QRISK3-lifetime tool can be found here:
• https://qrisk.org/lifetime/index.php
The NICE guideline on familial hypercholesterolaemia can be found here:
• https://www.nice.org.uk/guidance/cg71
The Simon Broome criteria for the diagnosis of familial hypercholesterolaemia can be found here:
• https://www.nice.org.uk/guidance/cg71...
The Dutch Lipid Clinic Network (DLCN) criteria for the diagnosis of familial hypercholesterolaemia can be found here:
• https://www.mdcalc.com/calc/3818/dutc...