Advanced Coronary Heart Disease Management in Primary Care

• Revisiting CHD pathophysiology
• Spectrum of CHD: stable angina, acute coronary syndromes, post-MI states
• Long-term impact of CHD on morbidity, mortality, and quality of life
• Role of Primary Care in secondary prevention and long-term management

• Assessing symptom burden and functional limitation
• Recognising unstable symptoms and red flags
• Risk stratification following MI or revascularisation
• Interpreting investigations and correspondence from cardiology

• Blood pressure and cardiovascular risk optimisation
• Lipid management in established CHD
• Applying targets pragmatically in complex patients
• Supporting lifestyle modification and cardiac rehabilitation

• Antiplatelet therapy: duration, safety, and review
• Anti-anginal therapies: optimisation and sequencing
• Managing statin intolerance and lipid-lowering escalation
• Polypharmacy, interactions, and adherence challenges

• Persistent angina despite treatment
• CHD in the context of diabetes, CKD, heart failure, and frailty
• Balancing symptom control with treatment burden
• Recognising when symptoms suggest disease progression

• Recognising acute coronary syndromes in Primary Care
• Safety-netting for chest pain and atypical presentations
• Post-hospital follow-up after MI, PCI, or CABG
• When to re-refer urgently or routinely to cardiology

• Shared-care pathways with cardiology services
• Cardiac rehabilitation and community services
• Communication following secondary care intervention
• Supporting continuity of care in long-term CHD

• Complex CHD case studies
• Medicines review and optimisation scenarios
• Decision-making around escalation and referral
• Reflective discussion and consolidation of learning

All courses are developed and delivered by experienced healthcare professionals with current or recent clinical experience in Primary Care and long-term condition management. Trainers are appropriately qualified and maintain up-to-date knowledge in line with national guidance. Course content and curriculum are subject to regular review to ensure they remain evidence based, aligned to national standards, and reflective of current best practice at the time of delivery.