- Acute coronary syndromes
- Haloperidol and prevention of
- Oral anticoagulants in atrial fibrillation
- Vertebral fragility factures
- Enteral tube feeding in dementia
Terry Quinn is the joint Stroke Association & Chief Scientist Office Senior Clinical Lecturer based in the Institute of Cardiovascular and Medical Sciences, University of Glasgow. In this blog Terry discusses his recent Age and Ageing paper looking at anticoagulants (blood thinners) and dementia. He tweets @DrTerryQuinn
Despite decades of research, an effective treatment to prevent or delay dementia remains elusive. This is in stark contrast to cardiovascular disease, where we have many evidence based treatments in the therapeutic toolbox. Certain cardiac diseases seem to be associated with cognitive decline and this begs the question, could cardiovascular medications prevent dementia?
We decided to look at a particularly common cardiac condition, atrial fibrillation (AF, an irregular heart beat). People with AF are at risk of stroke, a risk that can be substantially reduced with anticoagulant medication. Continue reading
Richard Bogle is a Consultant Cardiologist based in London and Surrey. He specialises in the assessment and treatment of patients with all types of heart and vascular disease. He tweets at @richardbogle
If you watched the news this week you might have thought that the only recommendation in the NICE Atrial Fibrillation Guideline was that doctors should not prescribe aspirin to prevent strokes. In fact most cardiologists and geriatricians stopped using aspirin for this condition several years ago and the NICE recommendation simply reaffirms those issued previously by other professional societies such as the European Society of Cardiology.
The real story behind the guidelines was, in my opinion, nothing to do with medication or rate versus rhythm but rather the importance of delivering a personalised package of care for patients with atrial fibrillation (AF). Recognising that AF is a long term health condition there is emphasis on the importance of shared decision making processes particularly around anticoagulation. Alongside the guideline NICE published a Patient Decision Aid to assist with this process. Continue reading