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This month we get to the beating heart of general practice with editorials on heart failure and blood pressure sitting at either end of the sphygmomanometer scale. These back up research into natriuretic peptide testing in heart failure, and postural hypotension, as well as further insights into the diagnosis of hypertension. Other research looks at atrial fibrillation, cardiovascular risk scores and cancer history, and the unintended consequences of patient online access to health records. As ever , Life & Times takes us to the metaphorical heart of general practice with articles on empathy and part-time working bolstering the book reviews that this month include the excellent Women in White Coats: How the First Women Doctors Changed the World of Medicine, by Olivia Campbell.