Warfarin is highly effective in preventing strokes in people with atrial fibrillation (AF), but has its limitations. Only half of patients who could benefit actually receive warfarin, resulting in an estimated 7000 avoidable strokes each year.
Most people now survive a first stroke, but many patients are left with significant disability. In this article, our very own BATman ‘goes through rehab’ to review recently published NICE guideline. This aims to ensure that all stroke survivors have access to effective, individualised rehabilitation, both in the hospital and during long-term follow-up in the community.
A practical guide for primary care. If we wanted to make things simple, all patients with atrial fibrillation (AF) would receive an oral anticoagulant to reduce their risk of stroke and other comorbidities. But historically this has been difficult because anticoagulants can cause bleeding. Decisions about oral anticoagulation in patients with AF are therefore complex, […]
Like falling off a cliff’ or ‘falling into a black hole’. This is how stroke survivors and their carers often describe discharge from hospital back to their own home. Recognising this issue, the National Stroke Strategy recommended planned reviews to identify unmet needs for health and social care, and secondary prevention. This article discusses tools designed to help professionals to review the evolving needs of stroke survivors and their families.
Following a stroke up to 60% of people have sight problems, including loss of visual field and trouble with visual processing when the brain no longer makes sense of what the eye sees. Changes to vision can also be a sign of stroke or transient ischaemic attack (TIA). The awareness of visual problems in stroke patients is highlighted in this article which explains the different sight problems and outlines steps which can be taken to help.
Transient ischaemic attack (TIA) is a powerful warning sign of an impending, and potentially disabling, stroke. It is important to understand differences between stroke and TIA, how the FAST test can help you recognise the signs, and the use of the ABCD2 score to assess the level of stroke risk. Treating TIAs as emergencies is critically important in preventing a full stroke so urgent referral to your local TIA service is best practice.
Communication problems are one of the most common after-effects of stroke, affecting about one in three people. Losing the ability to speak or understand language – aphasia – is frightening and frustrating. This article offers insights and practical tips to aid communication.
In this new series, BJPCN interviews key people leading major initiatives in the prevention and treatment of CVD and diabetes. Alastair Bailey, who leads the Brain Attack Team (BAT) at Leeds Teaching Hospitals Trust explains how the team ensures that patients with stroke receive prompt thrombolytic treatment to improve outcomes.