Category Archives: Cardiovascular

Hypertension: updated NICE guidelines

BMJ article from November summarised the updates to the previous guidelines, which I wrote about here. The actual guidance is here. Points to be aware of: Measuring BP Initially, check both arms; if the difference between arms is ≥15 mmHg, … Continue reading

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Ablation for atrial fibrillation

Another one from the catch-up pile: this BMJ article. Catheter ablation is an alternative to pharmacotherapy for atrial fibrillation. The info is as follows: It’s no better than pharmacotherapy for reducing mortality or disabling stroke. It also, for reasons that … Continue reading

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Anticoagulation in people with a falls risk

I’ve been very wary of anticoagulating elderly frail people at risk of falls – it feels very antithetical to ‘First, do no harm’ – but it seems I might have been being overcautious. I looked this up as part of … Continue reading

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Aspirin + clopidogrel short-term after TIA/ischaemic stroke

I belatedly got round to reading a January BMJ that contained this article, an analysis of previous work on DAPT (dual antiplatelet therapy) after TIA/stroke. The recommendations are: After either a high-risk TIA or a minor ischaemic stroke, use both … Continue reading

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Diabetes management

The alphabet mnemonic is useful for remembering all the things that need to be discussed with patients: Advice – smoking, diet, exercise, weight loss. See about referring to structured educational programmes. Blood pressure Cholesterol Diabetes control Eye checks Foot checks … Continue reading

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NNTs/ARRs for secondary prevention of cardiovascular events

The other day, I had one of those “Do I really need all these pills, Doctor?” questions that requires a grey-area conversation about risk reduction. Anyway, in medical terms the information needed is “What is the NNT for each of … Continue reading

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Aspirin in people on oral anticoagulants? Probably not.

This DEN has come up a couple of times lately; do people on oral anticoagulants gain any further benefit from taking aspirin as well? This article has a good summary: If it’s for primary prevention, then no and also why … Continue reading

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