Topic: Stroke - Primary Care
Tuesday, 21 November 2017
GP practices have a central role in the prevention of stroke. This review assessed the adequacy of primary and secondary preventive interventions that were provided for patients who were on the stroke register between January 2009 to December 2012, in the six months before and after a stroke. Eight GP practices in a deprived locality of North London participated in the review.
Wednesday, 21 February 2018
Atrial fibrillation (AF) is the commonest sustained cardiac dysrhythmia, but is asymptomatic in about one quarter of patients. Case finding with subsequent assessment of the risk of stroke and bleeding are essential to ensure that the right patients receive appropriate intervention with oral anticoagulation.
Friday, 02 August 2019
Since 2014 the 15 Academic Health Science Networks (AHSNs) across England have been working on a collaborative atrial fibrillation (AF) programme focused on reducing AF-related stroke. The national programme has three elements: Detect: finding more people with AF to allow early intervention to prevent stroke; Protect: treating more at-risk patients with anticoagulants to reduce the rate of AF-related stroke; and Perfect: improving the quality of anticoagulation to ensure maximal patient outcomes.
Thursday, 14 March 2019
There appears to be an association between migraine and cardiovascular disease and especially ischaemic stroke. How real is the absolute risk, what may be the cause, and what, if anything should we tell our patients?
Thursday, 28 April 2016
Recent guidelines recommend two key steps to reduce ischaemic stroke in people with atrial fibrillation: 1. Improving the assessment of stroke risk and 2. Increasing the use of evidence-based anticoagulant therapy. In this article, leading specialists explain how to apply current guidelines to improve current practice in stroke prevention.
Monday, 12 September 2016
A new case study shows the significant reduction in atrial fibrillation-related stroke incidence achieved using the GRASP-AF audit tool. The case study, from West Hampshire CCG, highlights improvements in key measures including a 4% reduction in the number of patients treated inappropriately, a 5% increase in the use of oral anticoagulation therapy and a 10% reduction in AF-related strokes.
Category: Case Study
Thursday, 07 February 2019
Loss of muscle and body weight (or cachexia) is associated with disability after stroke, in the first study to prospectively investigate the development of cachexia in patients after acute stroke. The study showed that the amount of skeletal muscle throughout the body declines after stroke, which could require treatment options such as dietary supplementation and exercise training to prevent muscle wasting.
Category: Evidence in Practice
Friday, 30 June 2017
The leading UK cardiovascular conference for the whole primary care team. Expert presenters and a down-to-earth approach help health professionals translate the latest evidence into daily practice and optimise patient care. Participants also receive 9 hours CPD credits. Book now to attend this inspirational event and take advantage of our Early Bird discount.
Friday, 19 May 2017
A useful new resource on stroke for healthcare professionals and the general public has been published on the Health Awareness website. Articles include a feature from National Clinical Director of Stroke Professor Anthony Rudd (St Thomas’ Hospital, London) on the importance of quick access to specialist care and treatment.
Category: Have You Heard
Friday, 15 September 2017
Arrhythmia Alliance is calling on NHS England to reconsider its ‘Commissioning through Evaluation’ (CtE) process, which has left hundreds of patients with atrial fibrillation (AF) at serious risk of suffering a debilitating or life-threatening AF-related stroke. The evaluation process has meant patients being denied access to potentially life-saving treatment with no guarantee when the process will be completed to allow access.
Category: Have You Heard