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Ministry of Health - By BC Physicians, for BC Physicians

Cardiovascular System

Guidelines (in HTML) Printable Documents (PDF)
Ambulatory ECG Monitoring - Holter Monitor and Other Devices (2013) Full Guideline (PDF 243K)
Cardiovascular Disease - Primary Prevention (2008) Full Guideline (PDF 901K)
Summary (PDF 145K)
Figure 1: Coronary Heart/Cardiovascular Disease Risk Assessment (PDF 75K)
Appendix A - Part I: Smoking Cessation (PDF 82K)
Appendix A - Part II: Effective pharmacological aids to smoking cessation (PDF 76K)
Appendix A - Part III: Patient Handout "Quit Smoking: It's Time to Act" (PDF 77K)
Appendix B - Framingham Instruction Sheet (PDF 166K)
Appendix C - Framingham and UKPDS Risk Assessment Charts (PDF 541K)
Appendix D - Apolipoprotein B (PDF 179K)
Cardiovascular Disease - Primary Prevention. A Guide for Patients (PDF 98K)
Acute Chest Pain - Evaluation and Triage (2008) Full Guideline (PDF 424K)
Appendix A: Features of acute chest pain (PDF 177K)
Appendix B: Risk of death or non-fatal MI in patients with Unstable Angina (UA)/NSTEMI (PDF 187K)
Appendix C: Evaluation and management of patients suspected of having ACS (PDF 186K)
Heart Failure Care (2008) Full Guideline (PDF 540K)
Summary (PDF 145K)
Appendix A - Diuretics (PDF 42K)
Appendix B - Beta blockers (PDF 42K)
Appendix C - ACE inhibitors (PDF 33K)
Appendix D - Angiotensin receptor blockers (PDF 27K)
Appendix E - Direct acting vasodilators (PDF 30K)
Appendix F - Spironolactone (PDF 69K)
Appendix G - Digoxin (PDF 72K)
Flow Sheet (PDF 165K)
Patient Guide (PDF 197K)
Hypertension - Detection, Diagnosis and Management (2008) Full Guideline (PDF 799K)
Summary (PDF 174K)
Appendix A - Recommended Technique for Measuring Blood Pressure (PDF 51K)
Appendix B - Framingham Instruction Sheet (PDF 510K)
Appendix C - Home Blood Pressure Monitoring Worksheet (PDF 55K)
Appendix D - Hypertension Care Flow Sheet (PDF 196K)
Appendix E - Dietary Approaches to Stopping Hypertension (DASH) (PDF 60K)
Appendix F - Antihypertensive Drugs (PDF 85K)
Appendix G - Examples of Secondary Causes of Hypertension (PDF 101K)
Flow Sheet (PDF 196K)
Patient Guide (PDF 133K)
Stroke and Transient Ischemic Attack - Management and Prevention (2009) Full Guideline (PDF 954K)
Summary (PDF 205K)
Appendix A: Stroke Risk Assessment in Atrial fibrillation: CHADS2 Score (PDF 158K)
Appendix B: Cincinnati Stroke Scale (PDF 254K)
Appendix C: Stroke Medication Table (PDF 231K)
Appendix D: TIA/Stroke Discharge Summary to Family Physicians (PDF 157K)
Appendix E: TIA Patient Discharge Instruction (PDF 100K)
Appendix F: A Guide for Patients (PDF 152K)
Warfarin Therapy Management (2010) Full Guideline (PDF 1.0M)
Summary (PDF 239K)
Appendix A: Important Interactions with Warfarin (PDF 239K)
Patient Guide 1: Warfarin: A Guide for Patients (PDF 276K)
Patient Guide 2: Warfarin and Food: Guide for Patients (PDF 223K)
Warfarin Record Sheet (PDF 223K)
Warfarin Therapy - Management During Invasive Procedures and Surgery (2010) Full Guideline (PDF 522K)
Summary (PDF 84K)
Appendix A: Management of Warfarin Therapy During Invasive Procedures and Surgery (PDF 53K)
Patient Guide (PDF 220K)

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.  We cannot respond to patients or patient advocates requesting advice on issues related to medical conditions. If you need medical advice, please contact a health care professional.