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Cardiovascular system disorders

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Using heparins during breastfeeding

19 January 2024Low molecular weight heparin and unfractionated heparin can be used during breastfeeding. Recommendations apply to full term, healthy infants only.

Using beta-blockers during breastfeeding

2 June 2023Labetalol, metoprolol or propranolol are the beta-blockers of choice during breastfeeding. Recommendations apply to full term and healthy infants only.

Atrial fibrillation management in frail older people

2 December 2022Guidance to help upskill primary and secondary care clinicians in decision making when managing atrial fibrillation in frail older people

Hypertension management in frail older people

2 December 2022Guidance to help upskill primary and secondary care clinicians in decision making when managing hypertension in frail older people

ARB suggestions for adults with swallowing difficulties

20 June 2024A range of angiotensin II receptor antagonists (angiotensin receptor blockers, ARB) formulations are suitable for adults with swallowing difficulties.

Choosing an antidepressant for people with coronary heart disease

29 April 2025Sertraline is the first-line option in people with coronary heart disease. Alternatives include fluoxetine, paroxetine and mirtazapine.

Managing cardiovascular disease in frail older people

2 December 2022A pragmatic approach for managing common cardiovascular long-term conditions in older people living with frailty, multimorbidity and polypharmacy

Hypertension: treatment during pregnancy

6 January 2022Signposting evidence-based information on the treatment of hypertension in pregnancy

Using antiplatelet medicines during breastfeeding

7 July 2023Antiplatelets can be used with caution in breastfeeding. Avoid exposure to aspirin if infant has a fever. Recommendations apply to full term, healthy infants.

Heart failure management in frail older people

2 December 2022Guidance to help upskill primary and secondary care clinicians in decision making when managing heart failure in frail older people