Clinical News

Minimally invasive clipping of the left atrial appendage: Reducing stroke risk in patients with atrial fibrillation

Ms Donna Eaton outlines how device closure of the left atrial appendage has emerged as a safe and effective alternative to anticoagulation for some patients The most serious risk to patients with atrial fibrillation (AF) is thromboembolic stroke. There is a clear relationship between the left atrial appendage (LAA) and stroke in patients with non-valvular…

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Preventing cardiovascular disease in primary care

Dr David Molony documents the success of Heartwatch in primary care to date but bemoans the lack of investment in the programme, which is no longer recruiting patients Heartwatch is the National Programme in General Practice for the Secondary Prevention of Cardiovascular Disease (CVD) in Ireland, as patients with established cardiovascular disease have a high…

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Heart failure and iron deficiency — guidelines and practicalities

Dr Pat O’Callaghan looks at the prevalence, diagnosis and optimal management of iron deficiency in heart failure patients As many as 50 per cent of heart failure patients are iron-deficient. In patients with heart failure, iron deficiency correlates with decreased exercise capacity, with poor quality of life and predicts worse outcomes. Iron deficiency is easily…

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Focus on idiopathic pulmonary fibrosis (IPF) — Irish data, diagnosis and management

Prof Anthony O’Regan addresses the complexities of diagnosis and treatment in idiopathic pulmonary fibrosis Idiopathic pulmonary fibrosis (IPF) is a severe lung disease characterised by progressive distortion and destruction of the lung architecture by scar tissue. The cause and pathogenesis of the disease are poorly understood but there has been remarkable progress in our understanding…

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Cancer pain in adults – ESMO guidelines

Priscilla Lynch reports on the most recent ESMO Clinical Practice Guidelines on Cancer Pain Pain is common in cancer patients, particularly in the advanced stage of disease when prevalence is estimated to be more than 70 per cent. Due to ever increasing cancer survival rates there are consequently increased numbers of patients experiencing persistent pain…

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Managing chronic low back pain in primary care

Dr Dominic Hegarty gives a comprehensive overview of the latest approaches to chronic low back pain, including new restorative neurostimulation technology for refractory cases In daily practice, chronic low back pain (CLBP) (ie, lower back pain without any radicular symptoms) still remains one of the most common reasons why an individual will see their GP.…

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