The new SIGN guidance on CHD and its implications for secondary care

The Scottish Intercollegiate Guidelines Network (SIGN) recently published a comprehensive guideline of the management of cardiovascular disease (CVD). Here, Dr Kevin Jennings and Professor Lewis Ritchie, co-chairs of the SIGN coronary heart disease (CHD) guidelines steering group, look at the implications of the recent guidance for secondary care. The full five guidelines covering acute coronary syndromes, cardiac arrhythmias in CHD, chronic heart failure, stable angina, and risk estimation and the prevention of CVD, are available at www.sign.ac.uk. In the last issue of the journal, the implications for primary care were considered.