GPAC: Guidelines and Protocols Advisory Committee

Cardiovascular System

Guidelines (in HTML) Printable Documents (PDF)
Ambulatory ECG Monitoring (Holter Monitor and Patient-Activated Event Recorder) Full Guideline (PDF 194K)
Cardiovascular Disease - Primary Prevention Full Guideline (PDF 820K)
Summary (PDF 121K)
Figure 1: Coronary Heart/Cardiovascular Disease Risk Assessment (PDF 56K)
Appendix A - Part I: Smoking Cessation (PDF 63K)
Appendix A - Part II: Effective pharmacological aids to smoking cessation (PDF 57K)
Appendix A - Part III: Patient Handout "Quit Smoking: It's Time to Act" (PDF 58K)
Appendix B - Framingham Instruction Sheet (PDF 125K)
Appendix C - Framingham and UKPDS Risk Assessment Charts (PDF 509K)
Appendix D - Apolipoprotein B (PDF 159K)
Cardiovascular Disease - Primary Prevention. A Guide for Patients (PDF 77K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

Acute Chest Pain - Evaluation and Triage Full Guideline (PDF 392K)
Appendix A: Features of acute chest pain (PDF 156K)
Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 166K)
Appendix C: Evaluation and management of patients suspected of having ACS (PDF 164K)
Electrocardiograms Full Guideline (PDF 74K)
Heart Failure Care Full Guideline (PDF 411K)
Summary (PDF 124K)
Appendix A - Diuretics (PDF 37K)
Appendix B - Beta blockers (PDF 36K)
Appendix C - ACE inhibitors (PDF 27K)
Appendix D - Angiotensin receptor blockers (PDF 22K)
Appendix E - Direct acting vasodilators (PDF 25K)
Appendix F - Spironolactone (PDF 49K)
Appendix G - Digoxin (PDF 51K)
Flow Sheet (PDF 143K)
Patient Guide (PDF 174K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

Hypertension - Detection, Diagnosis and Management Full Guideline (PDF 775K)
Summary (PDF 154K)
Appendix A - Recommended Technique for Measuring Blood Pressure (PDF 46K)
Appendix B - Framingham Instruction Sheet (PDF 505K)
Appendix C - Home Blood Pressure Monitoring Worksheet (PDF 50K)
Appendix D - Hypertension Care Flow Sheet (PDF 191K)
Appendix E - Dietary Approaches to Stopping Hypertension (DASH) (PDF 55K)
Appendix F - Antihypertensive Drugs (PDF 80K)
Appendix G - Examples of Secondary Causes of Hypertension (PDF 95K)
Flow Sheet (PDF 191K)
Patient Guide (PDF 128K)

A PDA version of this guideline is also available at www.Clinipearls.ca/BCGuidelines

Stroke and Transient Ischemic Attack - Management and Prevention
Full Guideline (PDF 959K)
Summary (PDF 180K)
Appendix A: Stroke Risk Assessment in Atrial fibrillation: CHADS2 Score (PDF 154K)
Appendix B: Cincinnati Stroke Scale (PDF 249K)
Appendix C: Stroke Medication Table (PDF 142K)
Appendix D: TIA/Stroke Discharge Summary to Family Physicians (PDF 152K)
Appendix E: TIA Patient Discharge Instruction (PDF 143K)
Appendix F: A Guide for Patients (PDF 148K)
Warfarin Therapy - Initiation and Maintenance Full Guideline (PDF 172K)
Patient Record Sheet (PDF 109K)
Patient Guide (PDF 93K)
Warfarin Therapy - Management During Invasive Procedures and Surgery Full Guideline (PDF 150K)
Patient Guide (PDF 93K)
Warfarin Therapy - Overanticoagulation Treatment Full Guideline (PDF 112K)
Patient Guide (PDF 93K)

Disclaimer

The Clinical Practice Guidelines (the "Guidelines") have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission. The Guidelines are intended to give an understanding of a clinical problem, and outline one or more preferred approaches to the investigation and management of the problem. The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problems.

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