Aims: We aimed to investigate why many patients with ST-segment elevation myocardial infarction (STEMI) initially present to non-primary percutaneous coronary intervention (PPCI) equipped hospitals in a region that offers a 24-hour direct access Heart Attack Centre.
The food industry is currently adding growing amounts of sugar to our food. Consumers are largely unaware of this, as the sugar is mostly hidden.
As health professionals and policy makers debate what are the most effective means to combat the global obesity epidemic, one important question one must ask is whether we have been following the wrong dietary advice over the past three decades. This chapter presents a summary of evidence arguing the relationship between saturated fat consumption, cardiovascular disease, and obesity.
We thank Malhotra and Rakhit  for their observations of the challenges and potential beneficial outcomes in the management of out-of-hospital cardiac arrest. Clearly, prevention is the best course of action and therefore the promotion of greater awareness of the prodromal symptoms and signs that may precede a cardiac arrest and when to call for help is paramount. If and when a cardiac arrest does occur, survival rates will be greater if this occurs when the ambulance is already on scene after an early call for help. These actions need to be combined with improved levels of bystander cardiopulmonary resuscitation (CPR) and reduced times to defibrillation for all victims of cardiac arrest.
High incidence of acute coronary occlusion in patients without protocol positive ST segment elevation referred to an open access primary angioplasty programme
I welcome the response from Barbara Young, chief executive of Diabetes UK to my article entitled “the dietary advice for added sugar is need of emergency surgery.”
BMJ’s too Much Medicine Campaign should be welcomed. An increasing evidence base exists documenting the harms and costs of over diagnosis and over treatment.(1)