New post-MI guidance issued

The National Institute of Health and Clinical Excellence (NICE) has issued a new guideline for secondary prevention in primary and secondary care following a myocardial infarction (MI).

This guidance replaces an existing document, Prophylaxis for patients who have experienced a myocardial infarction.

Key priorities
The guidance sets out key priorities for implementation, including precise confirmation of diagnosis and formation of an action plan, advice on exercise and diet, treatment recommendations, including management of heart failure, and advice on cardiological assessment to consider coronary revascularisation.

The criteria for these priorities included whether the recommendation is likely to:

  • Have a high impact on patients' outcomes, in particular mortality and morbidity.
  • Have a high impact on reducing variation in the treatment offered to patients.
  • Lead to a more efficient use of NHS resources.
  • Enable patients to reach important points in the care pathway more rapidly.

The guidance can be downloaded from the NICE website.

MIMS links
Heart failure

Myocardial infarction, LVD

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