BMJ  2008;336:1246-1248 (31 May), doi:10.1136/bmj.39554.624086.AD

Practice

Guidelines

Risk assessment and lipid modification for primary and secondary prevention of cardiovascular disease: summary of NICE guidance

Angela Cooper, senior health services research fellow, Norma O’Flynn, clinical director , on behalf of the Guideline Development Group

1 National Collaborating Centre for Primary Care, Royal College of General Practitioners, London SW7 1PU

Correspondence to: N O’Flynn noflynn@rcgp.org.uk

The first 150 words of the full text of this article appear below.

Cardiovascular disease remains a leading cause of morbidity and mortality in the United Kingdom. Randomised controlled trials have shown benefit from modifying risk factors in people at risk of developing cardiovascular disease and in those who have evidence of established disease. Currently patients are often assessed opportunistically and treated on the basis of individual clinical or laboratory results rather than on their overall level of risk of developing cardiovascular disease. This article summarises the most recent recommendations from the National Institute for Health and Clinical Excellence (NICE) on the effective identification and assessment of people at risk of cardiovascular disease, and on the modification of lipids in primary and secondary prevention. The detailed consideration of the evidence is available in the full guideline (www.nice.org.uk/ CG67).1

NICE recommendations are based on systematic reviews of best available evidence. When minimal evidence is available, recommendations are based on the guideline development group’s . . . [Full text of this article]


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