Drug And Secondary Prevention Of Stroke And Transient...

Some statements are not referenced at all and some references are not included in your reference list. You use a combination of a numbering and author system. For further advice on referencing please see: http://www.bath.ac.uk/library/infoskills/referencing-plagiarism/ Greg Kalita trainee pharmacist independent prescriber 2016 A review of ACE inhibitors use in the secondary prevention of stroke and transient ischaemic attack Summary An angiotensin-converting-enzyme (ACE) inhibitors use in the management of hypertension and secondary prevention of stroke is supported by NICE guidelines, and is effective with a favourable side effect profile. Combination therapy with ACE inhibitor plus diuretic (indapamide) reduces blood pressure and stroke risk by 43% (PROGRESS Group Lancet 2001 September) Results from HOPE (Yusuf et al Engl J Med. 2000 Jan 20) and PROGRESS trials established that long-term management of BP (blood pressure) after stroke with ACE inhibitors (perindopril or ramipril) and diuretics (indapamide) reduces the risk of recurrent stroke (and cognitive impairment). After a stroke or TIA (transient ischaemic attack), normotensive patients benefit as much as hypertensive patients from BP reduction.(SouthDevon Formulary Secondary prevention of stroke / TIA 2015) Key Recommendations Patients who have had a previous stroke or TIA who are clinically stable and have no contraindication to antihypertensive therapy should aim to gradually lowerShow MoreRelatedEssay on Understanding Stroke1983 Words   |  8 PagesUnderstanding Stroke Diagnosis and Clinical Features of Stroke Several researchers have attempted to determine the general publics knowledge about stroke risk factors and warning signs. The most commonly cited risk factors were hypertension and stress; the most frequently identified warning signs were dizziness, severe headaches, and unspecified weakness. Knowledge about warning signs may prompt early recognition of strokes and, hence increase the speed and aggressiveness with whichRead MoreEvidence Based Nursing Care For A 57 Year Old Gentleman Who Has Been Recently Diagnosed With Acute Coronary Syndrome2805 Words   |  12 Pagessymptoms such as nausea, shortness of breath and sweatiness. He was diagnosed with an anterior ST elevation myocardial infarction. Mr. Peter is a regular smoker of 20-30 cigarettes per day and has a family history as his father died due to a heart attack a couple of years ago. This essay will look in depth at ST elevation myocardial infarction as the case study is mostly related to that. ACS is defined as a group of clinical conditions initiated by rupture of an atherosclerotic coronaryRead MoreClopidogrel And Hip Fractures : A Systematic Review5137 Words   |  21 Pagesplatelet receptor adenosine diphosphonate (ADP) and thus inhibits platelet aggregation and thrombus formation [5]. The National Institute of Clinical Excellence (NICE) guidelines recommends clopidogrel for the prevention and treatment of occlusive vascular events in patients with recent stroke, myocardial infarction, acute coronary syndrome and established peripheral vascular disease [6]. This includes patients who have undergone percutaneous coronary intervention and coronary artery by-pass grafting