Chronic Illness - Coronary Heart Disease (CHD)

Overview

Individuals are followed up in our Coronary Heart Disease (CHD) clinic if they have angina, heart problems or have had a heart attack (Myocardial Infarction).

The key aim of coming to an annual review is to ensure that everything possible is being done to PREVENT a heart attack.

There is lots of evidence that people who have coronary heart disease can significantly lower there risk of further heart related problems, if they lead healthy lifestyles and are treated with certain types of medication. During the clinic these issues can be discussed and a shared plan agreed. It will also be an opportunity to discuss any cardiovascular related concerns that you may have.

 

The CHD clinic

You will be called once a year for an annual review. Unless you have problems in the meantime

The clinic runs on Wednesday Afternoon at Lion Health, 2 Lowndes Road.

The clinic appointments will be sent out in the post and should this not be convenient then please contact the surgery to arrange another time. With the clinic letter, you will receive a blood form, which needs to be done at least one week before the clinic date to ensure all of the results are available. The blood tests, should be performed fasting (We advise not to eat or drink anything other than water from 10pm the night before your blood test) and we are looking for

  • Glucose. This is a check for diabetes.
  • Cholesterol. By keeping cholesterol as low as possible, the risk of further heart problems can be reduced.
  • Kidney function. This is because sometimes raised blood pressure and certain types of medicine can put extra strain upon the kidneys and it is important to check that they are working correctly.
  • Liver function. When on certain types of medication it is advised to check liver function once a year.

Keeping healthy

  • Attend the Coronary Heart Disease Clinic each year as this gives an opportunity for us to assess your up to date cardiovascular risk factors and advise accordingly.
  • Maintain a healthy lifestyle (further information can be found by clicking on the following links)
  • Take medication as prescribed.
    • If you have concerns about any of your cardiovascular medicines the CHD clinic is a good time to discuss them.
    • Please don't stop taking any medication without consulting your doctor or nurse.
    • Make sure you have enough supplies of all your medication. Our policy is to only issue repeat prescriptions when 48hours has been allowed for them to be processed.
  • Ensure you attend for your annual flu jab (details here).

How do I recognise if my heart problem is getting worse?

  • Should you experience chest pain, which is not relieved by your GTN spray, and lasts longer than 10 minutes, then you should not hesitate to call 999 as this could be an emergency.
  • If you have concerns about your angina symptoms or are experiencing increasing episodes of chest discomfort or shortness of breath come and discuss this with your usual doctor as soon as possible.

Further Information

NHS Choices
http://www.nhs.uk/conditions/coronary-heart-disease/pages/introduction.aspx

Forms

HBPM Leaflet and Diary.pdf