CARDIOVASCULAR

GUIDELINE FOR HEART FAILURE 2005 ELANCS

CHADS2 SCORE http://www.soapnote.org/cardiovascular/chads2-calculator/

HF ALGORITHM EAST LANCS. HARD TO FIGURE OUT!

HBP LIFESTYLE MODIFICATION

ECG NOTES

AF DR BALACHANDRAN AND DR FOX

HF MEDICONF 2011

ERECTILE DYSFUNCTION AND CORONARY DISEASE MEDICONF 2012

RESUSCITATION COUNCIL ANAPHYLAXIS AND BASIC LIFE SUPPORT http://www.resus.org.uk/pages/mediMain.htm

http://www.pccj.eu FREE ON LINE PRIMARY CARE CARDIOVASCULAR JOURNAL

BP ARTICLE BMJ

BP ARTICLE AMBULATORY MONITORING

BP MANAGEMENT  OVER 80S

CARDIOLOGY HF  2011  PPT MEDICONF

SUMMARY OF NICE BP GUIDELINE 2011 http://www.bhsoc.org/docs/NICE_Hypertension_Guideline_Update.doc

DOWNLOADED SUMMARY OF NICE GUIDELINE 2011 FROM BHS

PULSE SUMMARY OF NICE BP GUIDANCE APRIL 2012

SUDDEN ARRYTHMIC DEATH SYNDROME http://www.sads.org.uk/

Cardiac and Stroke Networks in Lancashire and Cumbria is at http://www.csnlc.nhs.uk  There are local documents on the site

Here is a pdf of CHADS2 CHADSVASC and HAS BLED

HBP MANAGEMENT INCLUDING LIFESTYLE

ANGINA GUIDELINE

AF  EWOOD 21 11 12

HBP EWOOD 21 11 12

HF EWOOD 21 11 12

TIA EWOOD 21 11 12

UPDATE SHEET EWOOD 21 11 12

CKD ALGORITHM

BROOMWELL REFERRAL GUIDE

CHEST PAIN ASSESSMENT TOOL

WELLS SCORE PE http://www.mdcalc.com/wells-criteria-for-pulmonary-embolism-pe/

WELLS SCORE DVT http://www.mdcalc.com/wells-criteria-for-dvt/

NICE CG144 MANAGEMENT OF VENOUS THROMBO EMBOLIC DISEASES

http://www.nice.org.uk/guidance/CG144/chapter/introduction

http://www.nice.org.uk/guidance/cg144/resources/guidance-venous-thromboembolic-diseases-the-management-of-venous-thromboembolic-diseases-and-the-role-of-thrombophilia-testing-pdf

LIPID LOWERING DR KUMAR MAY 2014

CHEST PAIN QUESTIONS

ANNUAL CARDIOLOGY UPDATE June 9 2015

TIA REFERRAL TEMPLATE

Allergy 1

Allergy 2

Allergy 3

Allergy 4

Allergy 5

ALLERGY 1-5 FROM SYMPOSIUM ON ALLERGY YHPA MAY-JUNE 2016

AF DR NINAN 22 11 16

ATRIAL FIBRILLATION STEP BY STEP GUIDE

HEART ATTACK SYMPTOMS

HBP  Biggest benefit for least work only 50? Identified

24H BP or 14x HBPM [morning and evening]

BHS Guideline A +- C+- D [BFZ or HBP

indapamide]

Sporonolactone best 4th agent  [watch K+]  25-50 mg [Gynecomastia only with 100mg]  1 in n15 rise K+ to 6s and have to come off.

Furosemide has half life of 2h so of no use

Special case RF here can’t use ace BFZ does not work use Doxazosin and Moxonidine

In CKD DM Stroke target 130/80 Too much lowering leads to falls

Secondary HBP

Resistant= 3 agents and still up

Commonest is sleep apnoea

Drug induced  NSAID  Mirabegnon Tricyclics  High dose Venlafaxine

Are they taking the meds?

Renal failure

Rare Adrenal adenoma think if low K+[2.9]  on BFZ 

Cushings [appearance will alert]

Hypothyroidism

Renal Artery Stenosis [ Excess drop in Egfr when ace started 16% ok 50% not]

 

HBP check eye ecg renal function

Use large cuff if large arm or will read too high

Big difference in both arms refer

Psuedo HBP where the brachial arteries very thickened on old people and can be felt. These people will not have any target organ damage

Preoperative assessments up  to 160/100 is ok  140/90 Clinic 135/85 HBPM

 

HF

Symptoms may precede signs

Lt heart >crackles Rt heart>ankle swelling

Causes Myocardium Valves [rare- pericardium constricting heart] AF

Do ECG BNP ECHO

Don’t do BNP if has had an MI proceed to ECHO.   BNP increased in CKD reduced if on ace diuretic or overweight

Pre HF is LV dysfunction [either systolic contraction or diastolic filling]. Treat as HF also if angina treat as HF

Treat HBP Cholesterol with statin overweight and pre diabetes

Triple therapy  ACE + B Blocker + spironolactone or epleronone [check K+]

Diuretic [Furosemide or Bumetanide] to reduce dyspnoea.. allow some ankle edema to persist

Start small dose of ace then add small dose of B Blocker [Bisoprolol]

In diabetes MF and gliflozins best effect on the HF

Chest X will have been done if crackles and breathless a CT will differentiate pulmonary fibrosis

AF MEDICONF 3 3 18