Background For many years, the Heart Foundation has been involved in the
development of evidence based clinical practice guidelines for the
management of cardiovascular diseases and conditions, including
coronary heart disease (CHD). However, the production of guidelines
does not ensure the uptake of evidence based recommendations in
practice. This ‘management gap’ – or difference between guideline
recommendations and actual clinical practice – may contribute
significantly to the burden of CHD in Australia.
Objective This review aims to identify gaps of clinical significance in the
management of CHD in Australian general practice. These identified
gaps will then inform future efforts to improve cardiovascular
outcomes in this setting.
Discussion A literature and key documents search was undertaken to identify
Australian data relating to cardiovascular disease, current practice
and treatment gaps in the general practice setting. A number of
gaps in the management of CHD exist in Australia. Addressing
these gaps will improve patient outcomes. While the reasons for
the management gaps are complex and multifaceted, the Heart
Foundation will use this information to focus its messages and
activities in general practice. The key messages developed present
opportunities for improved clinical management of CHD in general
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