The Scottish Intercollegiate Guidelines Network (SIGN) has published SIGN 149 Risk estimation and the prevention of cardiovascular disease and SIGN 150 Cardiac rehabilitation.

SIGN 149 Risk estimation and the prevention of cardiovascular disease:

It is estimated that in 2015 cardiovascular disease (CVD) caused more than 25% of deaths in Scotland. The incidence and prevalence of CVD is higher among men, older people, and people who live in deprived areas of Scotland. SIGN 149 provides recommendations on the estimation of cardiovascular risk and interventions to reduce this risk in people with and without established CVD. Updated recommendations include: 

  • assessing cardiovascular risk 
  • dietary fat intake 
  • smoking cessation and electronic cigarettes 
  • antiplatelet therapy 
  • blood pressure lowering therapy 
  • psychological interventions.

SIGN 150 Cardiac rehabilitation:

There are a growing number of people in Scotland living with heart disease as a result of improvements in the 30-day survival rate following hospitalisation for a first heart attack from 85% to 92% during the past 10 years. SIGN 150 provides best practice guidance on the management of patients referred for cardiac rehabilitation. This guideline covers:

  • assessment and care planning 
  • lifestyle risk factor management
  • psychosocial health
  • vocational rehabilitation
  • medical risk management
  • provision of information. 

The recommendations in SIGN 150 aim to provide greater emphasis on long-term self-management strategies, and align with the British Association for Cardiovascular Prevention and Rehabilitation (BACPR) Standards and Core Components and the Scottish Government’s 2020 Vision for cardiac rehabilitation.