1. Angiotensin converting enzyme inhibitors for hypertension and heart failure?;Cleland, J.G.F.;Postgrad MedJ,1992
2. Congestive heart failure in coronary artery disease;Cheng, T.O.;Am J Med; We set up our own in 1987, which we believe is the first of its kind in a district general hospital in the UK. An audit of our 3 year experience with the 132 patients in the register confirmed that it was efficient and successful in recalling all the patients except for 3% who were lost to follow-up. All results were sent to the general practitioner, together with suggestions such as the need for repeats if the results were abnormal. Unfortunately, most of the patients with abnormal thyroid stimulating hormone (TSH) levels did not have repeat TFT as suggested, and this problem remained undetected for some time. This could conceivably be a problem with other thyroid registers, especially without the added scrutiny of an on-going clinical trial. We have therefore incorporated an 'alarm system' into the computer whereby patients who have not had repeat TFT within 6 weeks of an abnormal TSH would automatically be recalled to the hospital clinic,1991
3. monthly review of TFTs from the thyroid register could be undertaken, as in some centres,4 and patients recalled if necessary. However, this is more time-consuming, especially with large registers, and subject to operator variability and errors. It will also fail to make maximum use of the computer. Therefore the name of the referring consultant and the address of the hospital clinic should also be entered into the computer so that the patient can be recalled if necessary to the appropriate clinic. The patient category according to diagnosis and treatment should also be entered into the computer, as it will in the future represent a valuable source of epidemiological information. This has been used in the SAFUR programme which showed no association between thyroid disease and breast cancer.5;Alternatively