Category Archives: Cardiovascular

Stable angina – NICE guidelines

New official guidelines for assessing possibly cardiac chest pain; check for the following three features of the pain. Constricting discomfort in the front of the chest, or in the neck, shoulders, jaw or arms Precipitated by physical exertion Relieved by … Continue reading

Posted in Cardiovascular, Credits 2018 | Leave a comment

Primary hyperaldosteronism

I know this as Conn’s syndrome, but that’s slightly misleading; Conn’s syndrome refers specifically to an adenoma causing the hyperaldosteronism, and in fact only accounts for less than 30% of cases of PHA. PHA is important to pick up, as … Continue reading

Posted in BJGP, Cardiovascular, Credits 2018, Hypertension | Leave a comment

BP control before surgery

A reference in the latest BJGP has just answered a question I’ve been meaning to look into; how good a blood pressure control do we need to aim for in patients we’re referring for surgery? Not as strict as I’d … Continue reading

Posted in BJGP, Credits 2017, Hypertension, Surgery | Leave a comment

Antiplatelet therapy with anticoagulation therapy?

A BMJ article addressing an important and common question; in patients who have an indication for antiplatelet therapy plus an indication for anticoagulant therapy, should we give both or just one? In most cases, we should just give the anticoagulant, … Continue reading

Posted in Anticoagulants, Cardiovascular, Credits 2017, Haematology, Medication | Leave a comment

When Q waves are a normal variant

It seems I’ve been overdiagnosing past MIs on ECGs. A cardiologist has now sent me the helpful information that isolated Q waves in III are a variant of normal. Old inferior MI can only be diagnosed if there are Q … Continue reading

Posted in Cardiovascular, Credits 2017 | Leave a comment

Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

New evidence on hypertension targets in elderly

The ‘research update’ section in the BMJ alerted me to an interesting study in JAMA – the SPRINT study, comparing different hypertension targets in relatively healthy elderly people. Here’s the information I have from the abstract plus editorial: Population studied … Continue reading

Posted in Credits 2016, Elderly Medicine, Hypertension | Leave a comment