BMJ 2012: 344: 1 – 58 (4th February)

How safe are SSRIs in pregnancy?  A large linked-register study from the Nordic countries has shown third-trimester use to be associated with a 1.8/1000 risk of persistent pulmonary hypertension of the newborn (a life-threatening condition).

Although a recent study, HYVET, has shown hypertension treatment to be of help in preventing stroke even in octogenarians, one medical professor has written in to advise caution – hypotension, he points out, is more of a risk to the elderly than hypertension, and the HYVET trial looked at a particularly healthy group of elderly.  In the less healthy, treatment may carry more risk than benefit.

Patients who present with recent-onset seizures should see a specialist within two weeks.  Meanwhile, do an ECG in adults and consider it in children.

 

 

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About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in BMJ, Credits 2012, Elderly Medicine, Hypertension, Medication, Neurology, Pregnancy and Childbirth. Bookmark the permalink.

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