Cardiovascular disease is the biggest killer in the UK - keeping a healthy heart can be achieved by modifying lifestyle and sometimes taking medications

Blood pressure (hypertension)

Controlling your blood pressure (BP) is as important, if not more so, than controlling cholesterol. It is a “silent killer” – having high blood pressure rarely causes symptoms itself but can lead to lead to angina, heart attacks, heart failure, kidney failure and stroke.

Most of the time your GP can diagnose and treat high BP, and usually it can be managed through lifestyle measures (diet, exercise). Occasionally, you may need to see a specialist if your levels are high or difficult to control.

Preliminary Investigations:

  • Blood tests
  • Rest ECG
  • Echocardiogram (cardiac ultrasound)
  • 24hr wearable BP monitor

Depending on the results you may require:

  • MRI
  • Ultrasound

Treatment consists of:

  • Lifestyle (exercise, diet, low salt, low alcohol)
  • Tablets

High cholesterol (hyperlipidaemia)

The majority of cholesterol in our system is produced by the liver, the rest is obtained from dietary sources. There are 2 main types of cholesterol – LDL or “bad” cholesterol deposits itself in the lining of the arteries potentially causing narrowings which can lead to angina or heart attacks. HDL or “good” cholesterol removes excessive cholesterol from the arteries and is protective. Not everyone needs treatment for high cholesterol – the decision to commence treatment is based upon your overal “risk” score – which is calculated from age, gender, blood pressure as well as cholesterol.

Preliminary Investigations:

  • Fasting blood tests
  • Blood pressure

Depending on the results you may require:

  • Cardiac CT scan
  • Carotid ultrasound

Treatment consists of:

  • Lifestyle (exercise, diet)
  • Tablets