Ectopic Beats

Ectopic beats are a really common cause of symptoms variously described as palpitations, extra beats, lurching feeling. Here is our patient information sheet that we hand out to our patients where we have made this diagnosis. It has references to other excellent help sheets and some on line video resources to- including the famous Roger Taylor from Queen drumming out his interpretation of an ectopic beat.
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Annual follow up of patient with known aortic stenosis

Aortic stenosis is becoming much more common as we see a larger number of older people- since approx 1% of the population is born with a bicuspid aortic valve leaflet which has a tendency to calcify and narrow (or develop a stenosis) in the 7th decade of life. Once narrowed, the aortic valve can deteriorate gradually over many years or more rapidly over a year or so. This means that all patients should be followed up. In this article a shared care protocol is suggested for patients to receive share care between a local Cardiology service and their GP.
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NOAC local policy

The NOAC Steering group was formed by a group of clinicians and a Pharmacist in 2012 at the Royal Surrey County Hospital in order to provide guidance on use of a new anticoagulant drugs. After a year of consultation their first guideline for local use has been agreed and will shortly be presented to the Hospitals Medicines Committee. If accepted it will be included in the Hospitals Red Book for all staff. Dr Edward Leatham Consultant Cardiologist (Chair) Dr Elisabeth Grey-Davies Consultant Haematologist Nicola Ho-Yen Deputy Chief Pharmacist (Clinical Services) Dr Adrian Blight Consultant Stroke Physician Dr Kath Pascoe Consultant Stroke Physician Dr Philippa Howlett Cardiology Research Fellow Dr Rogers Matthew Haematology Registrar
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High blood pressure: why take so many pills?

Read and understand this slightly technical blog and you could stay out of the clutches of your local cardiologist and improve the chances of staying healthy in your old age - It isn't rocket science! As a Cardiologist I am seeing ever more older people suffering from heart failure, atrial fibrillation and Strokes following years of unrecognised or badly controlled high blood pressure. High blood pressure with no apparent cause is called 'essential hypertension' and is an extremely common condition. In this blog I have likened 'essential hypertension' to a problem with the pressure sensor/regulator in a pumped domestic water system. This analogy may be useful in answering a commonly posed question by patients: "why must I take so many pills for my blood pressure doctor?"
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Arrhythmia screening: who is in charge?

Haste Network in Guildford and Surrey is a Charity-funded arrhythmia screening service designed to help Guildford and Waverley GPs pick up intermittent or paroxysmal arrhythmias such as atrial fibrillation. The service may also be used to investigate patients who are being referred to Royal Surrey County Hospital where the waiting times for 7 day recorders can be quite lengthy. This article is provides patients and GPs some guidance on how it works and who is responsible for patient care during investigations. It also provides details on who to contact in event of things going wrong or if you need to make a complaint.
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