Cardiorenal-Metabolic

Diabetes-Cardiorenal-Metabolic Medicine

Heart failure, chronic kidney disease and cardiovascular prevention as one connected system — reviewed against the 2026 ESC Heart Failure and ESC/ERA cardiovascular–kidney guidelines and the July 2026 CVD Modern Service Framework, with the NICE position you must use in the AKT.

Reviewed and kept current

Last editorial review: 28 September 2026 · Next scheduled refresh: March 2027.

Start unit 1: Heart failure in 2026: diagnosis, NT-proBNP and foundational therapy (ESC 2026 vs NICE)All MRCGP AKT topics

The Golden Triangle for each topic taught here: fixed to the topic, and re-examined when its knowledge, evidence or real-world sources change.

Golden Triangle: Heart failure Knowledge Green, Evidence Green, Real-world Red. The triangle is white because it has not reached the Equinox. Real-world has two arrows pointing in to the Equinox; Green corners have no arrow.

Golden Triangle

Heart failure

Knowledge Green · Evidence Green · Real-world Red

Not yet at the Equinox · UK (NHS England) · as of 7 October 2026 · How the triangle works

Golden Triangle: Chronic kidney disease Knowledge Green, Evidence Green, Real-world Red. The triangle is white because it has not reached the Equinox. Real-world has two arrows pointing in to the Equinox; Green corners have no arrow.

Golden Triangle

Chronic kidney disease

Knowledge Green · Evidence Green · Real-world Red

Not yet at the Equinox · UK (NHS England) · as of 7 October 2026 · How the triangle works

Golden Triangle: Cardiovascular disease prevention Knowledge Green, Evidence Green, Real-world Red. The triangle is white because it has not reached the Equinox. Real-world has two arrows pointing in to the Equinox; Green corners have no arrow.

Golden Triangle

Cardiovascular disease prevention

Knowledge Green · Evidence Green · Real-world Red

Not yet at the Equinox · UK (NHS England) · as of 7 October 2026 · How the triangle works

About this topic

Diabetes-Cardiorenal-Metabolic Medicine

Heart failure, chronic kidney disease and cardiovascular prevention as one connected system — reviewed against the 2026 ESC Heart Failure and ESC/ERA cardiovascular–kidney guidelines and the July 2026 CVD Modern Service Framework, with the NICE position you must use in the AKT.

Units
3
Study time
75 minutes
AKT domain
Clinical knowledge
Pass mark
2 of 3certificate per unit
✓Answer from the NICE and UK position unless a question names another guideline; each unit flags where the 2026 ESC guidance differs.
✓Every discussion links to the current NICE, CKS, MHRA or ESC source.
Units

3 learning units

Work in order; each unit ends with its own certificate.

MDA-AKT-CK-CVH-01

Heart failure in 2026: diagnosis, NT-proBNP and foundational therapy (ESC 2026 vs NICE)

Diagnose heart failure with NT-proBNP to NICE thresholds, start the four pillars of HFrEF therapy, and understand what the 2026 ESC guideline changed — including the removal of HFmrEF — and what the AKT still expects.

  • Study time25 min
  • RCGP Topic GuideCardiovascular health
  • Your progressNot started
Open unit
MDA-AKT-CK-REN-01

CKD in cardiovascular disease: ‘STAMP on CKD’ (ESC/ERA 2026) and NICE NG203

Test every patient with cardiovascular disease for CKD, classify by eGFR and ACR, refer by KFRE, and build the cardiorenal-protective regimen: RAS blockade, SGLT2 inhibitor, statin and, in type 2 diabetes, finerenone.

  • Study time25 min
  • RCGP Topic GuideRenal and urology
  • Your progressNot started
Open unit
MDA-AKT-CK-CVH-02

The CVD Modern Service Framework (July 2026) and cardiovascular-kidney-metabolic prevention

What England’s first Modern Service Framework asks of general practice — finding the ‘missing millions’ and treating to target — with the NICE blood-pressure and lipid thresholds you need for the AKT.

  • Study time25 min
  • RCGP Topic GuideCardiovascular health
  • Your progressNot started
Open unit
Go deeper

DCRM Certificate of Advanced Studies

These units are free revision for the AKT. For credit-bearing, practice-changing depth in the same specialty, see MD Acumen’s Certificate of Advanced Studies.

View the programme

Where next?

← All MRCGP AKT topics📊 Statistics & EBP (flagship)🎓 DCRM Certificate of Advanced Studies✉️ enquiry@mdacumen.com
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Educational content for healthcare professionals; apply clinical judgement and current local guidance. MRCGP is a registered trademark of the Royal College of General Practitioners. These units are independent, curriculum-aligned revision resources and are not endorsed by the RCGP.