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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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Atrial fibrillation: Prevention and treatment

Dr Angie Brown gives a comprehensive overview of the prevention, diagnosis, treatment options and latest trial data on the management of atrial fibrillation Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. Its prevalence is 0.1-to-4 per cent and is constantly increasing. Furthermore, 70 per cent of AF is asymptomatic, so the actual true…

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Focus on hypertension and stroke

Donna Cosgrove MPSI provides a clinical overview of the prevalence, developments and latest medical treatments in the management of hypertension and prevention of stroke The route to cardiovascular health has become more evident since early epidemiological research in the late 1940s. Ideal cardiovascular health, a concept well supported in the literature, is defined by the…

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Iron deficiency in heart failure

Test tube with blood sample for ferritin test

Priscilla Lynch outlines the latest European Society of Cardiology guidance on the management of iron deficiency in heart failure patients Iron deficiency (with or without anaemia) is linked with adverse health outcomes, but especially so in patients with heart failure (HF). In patients with HF, iron deficiency is frequent but overlooked, with a prevalence of…

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