Best Practice Principles For cholesterol lowering - The British ...

Editor in ChiefJan Procter-KingNationally recognised senior tutor for thePrimary Care Training Centre, Jan is a memberof the board of the Primary Care CardiovascularSociety, a primary care advisor to the DoHvascular programme and a primary care CHDnurse.Managing EditorSusan MayorEmail: production@bjpcn.co.ukEditorial BoardSue BaicLecturer in Nutrition and Public HealthDept of Exercise and Health ScienceUniversity of BristolMichele BeeversModule Leader for HypertensionEducation for Health, WarwickLynda BlueHeart Failure Specialist Nurse, GlasgowJudith CogglesPractice Nurse and DiabetesSpecialist in Primary Care, KentBev CoxModule Leader for Heart FailureEducation for Health, WarwickCarolyne FeldmanBritish Heart Foundation CardiacLiaison Nurse, South ManchesterLinda GoldiePrimary Care Diabetes EducationSpecialist Nurse, BradfordEve KnightAntiCoagulation EuropeYvonne LeightonNurse Consultant, Nurse Primary CareCardiac Rehabilitation, NewcastleCaroline LevieCHD Specialist Nurse Team LeaderDurham Dales PCTSandra WaddinghamDiabetes Co-ordinatorNorth Lancs PCTPublisherMichael W GibbsSherborne Gibbs LimitedEdgbaston House3 Duchess PlaceEdgbaston, Birmingham, B16 8NHTelephone: 0121 454 4114Facsimile: 0121 454 1190Email: mgibbs@sherbornegibbs.co.ukCirculation ManagerJudy WilsonEmail: jwilson@sherbornegibbs.co.ukProduction ManagerHelen McDonnellEmail: production@bjpcn.co.ukSales and MarketingMichael YoungEmail: michael-young@btconnect.comThe opinions, data and statements that appearin any articles published in this supplementare those of the contributors. The viewsexpressed in this supplement are notnecessarily those of the British Journal ofPrimary Care Nursing. Although every effort ismade to ensure accuracy and avoid mistakes,no liability on the part of the publisher, editors,the editorial board or their agents oremployees is accepted for the consequencesof any inaccurate or misleading information.© 2007 The British Journal of Primary CareNursing and Sherborne Gibbs Limited. Allrights reserved. The reproduction, or storageand transmission by means electronic ormechanical will be considered a breach ofcopyright unless the prior written permissionof the publisher has been sought.Printed in the UK by Caric Print Ltd,Bournemouth, Dorset in association withStephens & George Magazines Limited.Printed on acid-free paper.Contents5 The science of cholesterol and its metabolismNigel CappsThe Princess Royal Hospital, Telford6 Why we should treat to lower targetsNigel CappsThe Princess Royal Hospital, Telford7 The treatment options for cholesterol loweringNigel CappsThe Princess Royal Hospital, Telford10 A proposed new treatment algorithm for lipid loweringMarc EvansLlandough Hospital, Cardiff10 Who to treatTerry McCormackWhitby Group Practice, Whitby10 A multidisciplinary approachJan Procter-KingPrimary Care Training Centre Ltd, Bradford11 Treating to targetMarc EvansLlandough Hospital, CardiffCOPYRIGHT SHERBORNE GIBBS LIMITEDREPRODUCTION PROHIBITEDBest practice principles forcholesterol loweringThe best practice principles laid out in this document were developed following a panel meeting which took place in February2006. The panel of experts was a multidisciplinary group of medical professionals who were convened to develop an effectivetreatment algorithm and to discuss and raise the profile of cholesterol management in the UK. Sponsored by Merck Sharp &Dohme Limited and Schering-Plough Limited. The authors have received financial assistance from Merck Sharp & Dohme Limitedand Schering-Plough Limited for developing these best practice principles. The views expressed in this supplement are those ofthe authors and are not necessarily those of The British Journal of Primary Care Nursing or the sponsors, Merck Sharp & DohmeLimited and Schering-Plough Limited.ISSN 1752-4385 (Print)ISSN 1752-4393 (Online)3