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Abstract: . . . Clinical Guidelines for the Management of Chest Pain and Angina . Dorset Clinical Working Party. June 1994. Quality in General Practice. The Goals for Practice 2000. South Essex Health Authority. November 1996. Effective Health Care. Management of Stable Angina . October 1997 Vol 3. No5. Department of Health - National Service Framework - Coronary Heart Disease, chapter 4- Stable Angina . 1 National Institute for Clinical Excellence. INHERITED Clinical Guideline : Summary table. Prophylaxis for patients who have experienced a myocardial infarction drug treatment, cardiac rehabilitation and dietary manipulation. April 2001 3 The IONA Study Group. Effect of nicorandil on coronary events in patients with stable angina : the Impart of Nicorandil in Angina (IONA) randomised trial. The Lancet. Vol.359. April 13, 2002. . . . . . . initial total cholesterol should be listed as an exception. e) If the pre-treatment level is = 4 mmol/l then there is no requirement to reduce the cholesterol any lower. 2001-2002 50% 2002-2003 70% 2003-2004 90% Page 6 East Kent Health Authority Clinical Effectiveness Primary Care (PRICCE) Guidelines 43 15 April 2003 Cholesterol lowering targets to come into effect for all PRICCE Practices and PEP practices from April 1 st 2001 Table 6 9.31 The practice will record the smoking status for all patients with angina and post MI. The practice should also record delivery of and/or referral for smoking cessation advice for all smokers. These standards will come into effect from April 1 st 2001 for all practices. To be monitored in 2002. 9.32 Flu vaccination should be given to all patients with, angina or with a history of myocardial infarction in line with the Chief Medical Officer's guidance. a) For flu vaccination - 90% of patients over the age of 16 should have been sent an invitation or have received a flu vaccination in the previous 12 months. Practices should record both figures. These standards will come into effect from April 1 st 2001 and monitored in 2002. References Management . . . --3000,2,750,2596,15950
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