1️⃣ Post MI - polypill (asp+ACEi+statin) improves 2º CV prev (SECURE)
2️⃣Antihypertensives can be taken AM or PM - no difference (TIME)
3️⃣Neprilysin inhibition doesn't affect cognitive function in HF (PERSPECTIVE)
4️⃣ AHF, IV Acetazolamide + loop diuretics ➡️ better decongestion, ⬇️ hospital stay & discharge without residual volume overload. (ADVOR)
5️⃣ Dapagliflozin for patients with HFpEF / HFmrEF, and HFimpEF. (DELIVER)
6️⃣Allopurinol doesn't improve major CV outcomes in IHD. (ALL-HEART)
7️⃣ Adjusted-dose VKA (not rivaroxaban) should remain the standard of care in patients with RHD & AF. (INVICTUS).
8️⃣The LIFE-HF model, Personalised lifetime predection of treatment benefit in HFrEF. #ESCCongress
9️⃣Milvexian (XIa inhibitor) shows potential to reduce the risk of ischaemic stroke in phase 2 trial.
(AXIOMATIC-SPP).
🔟Asundexian (XIa inhibitor) in acute MI (PACIFIC-AMI) and in those with recent noncardioembolic stroke (PACIFIC-STROKE).
Need phase 3 trials.
• • •
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Very high prevelance of smokers.
✔️After hypertension, smoking is the second top risk factor for death globally
✔️Tobacco kills 50% of its users! #ESCCongress #pharmacotherapy
The title “Consultant Pharmacist” was formally recognised by the NHS in 2005 in the Department of Health. A "Consultant Pharmacist Guidance " was published in January 2020. Let us recap:
Consultant pharmacists are required to work across the FOUR pillars of clinical practice, leadership, research and education, undertaking activities that use their extensive, expert knowledge and skills to contribute to the health of individuals and the population.
We are pleased to share the updated version (June 2021) of the UK Lipids Management Pathway by @AACinnovation which was endorsed by @NICEComms. #cardiotwitter
Some key messages from "Coronavirus and CVD medications" Webinar:
Lipid management (stable)
✔️ Carry on as usual
✔️ Tele Clinic to support patients and address concerns.
✔️ Check interactions with medicines if new therapies were prescribed. (DI)
Heart Failure (stable)
✔️ Carry on as normal (check DI)
✔️ ACEI / ARBs / Entresto carry on as normal.
✔️ Tele clinics to support patients and address concern.
✔️ Encourage patients to report / seek help if deterioration of symptoms
✔️ Links with HF teams
Ischaemic Heart Disease (stable)
✔️ Carry on as normal
✔️ ACEI / ARBs continue.
✔️ Aspirin not a concern (NSAID) at lower dose.
✔️ Antiplatelets - check DI
✔️ Tele clinic - support & address concerns.
✔️ Encourage patients to seek help if symptomatic
✔️ Links with CR teams