Cardiovascular Diseases

Cardiovascular Disease
Cardiovascular disease (CVD) consists of Coronary Heart Disease (angina and heart attacks), peripheral vascular disease, stroke, hypertension and heart failure.
CVD is the major cause of premature death in most European and Northern American populations.
Control of certain risk factors helps to reduce mortality and disability as a result of CVD.
At the Bayswater Medical Centre, we aim to assess and monitor patients every 6 months to ensure optimum regulation of CVD. If you have not seen your GP for more than 6 months, make an appointment.
Coronary Heart Disease Risk Assessment
At the Bayswater Medical Centre, we assess every patient once a year for certain risk factors which tell us whether you are at risk of a coronary event.
The risk factors are:
  1. High Blood Pressure
  2. High cholesterol or triglycerides
  3. Obesity (body mass index over 30)
  4. Diabetes (high glucose levels)
  5. Smoking
  6. Alcohol abuse
Through primary prevention, a chart is used to monitor the value of each individual’s risk factor. The practice helps patients to keep coronary heart disease at bay by introducing patients to the in-house stop-smoking clinic, the dietician (healthy eating decreases cholesterol levels) and physical activity (we offer gym referrals that result in reduced gym membership for certain gyms in the area).
Smoking
There is no safe level of smoking. All patients are advised to stop smoking.
Diet
Increase the proportion of foods in categories that are helpful: fruit and vegetables, whole grain cereals and bread, low fat diary produce like skimmed milk, fish and lean meat. Include oily fish and omega-3 fatty acids (that reduce mortality after a heart attack). Reduce salt intake. Reduce excess alcohol, but one to two units of alcohol daily have a protective effect.
Physical Activity
All patients are advised to take at least 20 to 30 minutes of vigorous exercise most days of the week. Moderate to high activity significantly reduces coronary heart disease and stroke.
For certain patients, to aid the decrease the risk factors, aspirin and cholesterol tablets are prescribed.
For coronary heart disease patients or those who are hypertensive we offer referrals for ECGs.
Patients with Coronary Heart Disease
For patients with coronary heart disease, they should try to achieve optimum control of the blood pressure (150/90; or 130/80 if diabetic) and good total cholesterol levels of under 5. If patients are well-regulated, they should attend the practice every 6 months for a routine check-up.
If should be noted that patients from ethnic minorities are more prone to CVD due to their genetic makeup, and the risk factors differ slightly.
Stroke Risk Assessment
At the Bayswater Medical Centre, we assess every patient once a year for certain risk factors which tell us whether you are at risk of a stroke. The risk factors are the same as for coronary heart disease.
Through primary prevention, the practice helps patients to stay stroke free by introducing patients to the in-house stop-smoking clinic, the dietician (healthy eating decreases cholesterol levels) and physical activity (we offer gym referrals that result in reduced gym membership for certain gyms in the area).
There are three types of strokes: ischaemic, embolic and haemorrhagic. The best treatment for ischaemic and embolic strokes is aspiring and blood pressure control.
At the Bayswater Medical Centre, we offer regular blood pressure and cholesterol measurement and an in-house stop smoking clinic.
Patients with high blood pressure, diabetes and an irregular heart beat are prone to strokes. These patients are referred to the Stroke Clinic within one week for a CT scan.
WE STRONGLY ADVISE ALL PATIENTS TO STOP SMOKING.
SMOKING INCREASES THE RISK OF A CARDIOVASCULAR EVENT.