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Volume 4, Number 3 |
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| Managing pregnancy and aPL |
Beverley J Hunt MD FRCP FRCPath Consultant Haematologist; Cathy Nelson-Piercy MA FRCP Consultant Obstetric Physician; Susan Bewley MRCOG MD MA Consultant Obstetrician; Munther Khamashta MD PhD Consultant Rheumatologist, The Lupus Pregnancy Clinic, Guy’s & St Thomas’ Hospital Trust, London |
The article on antiphospholipid syndrome (APS) in Thrombus 4.2 covered clinical and laboratory diagnoses and management of thrombotic disease. This article highlights the practical issues of managing APS during pregnancy. |
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| Infection as a cause of CHD |
Amarjit Sethi BSc MRCP Cardiology Research Fellow, The William Harvey Research Institute, London; John C Hogan BSc MD FRCP Consultant Cardiologist; Sandeep Gupta MD MRCP Consultant Cardiologist, Whipps Cross and St Bartholomew’s Hospitals, London |
Despite the recent growth in preventive strategies and cardiovascular interventions, coronary heart disease (CHD) today remains a major cause of morbidity and mortality in industrialised countries and is steadily increasing in developing countries.1 Traditional risk factors such as hypercholesterolaemia, smoking, hypertension and diabetes mellitus do not fully explain the extent or severity of disease in many patients. There has been increasing interest in the role of novel risk factors and, in particular, an infectious aetiology to atherosclerosis. |
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| Centralising thrombophilia patient information |
Steve Davidson BSc (Hons) RN DipN Haemostasis & Thrombosis Clinical Nurse, Queen’s Medical Centre, Nottingham |
Recently, a computer system has been developed for the Windows® 95, 98 and NT environments to promote the co-ordination of thrombophilia-related information. Its major aim is to act as an assistant during patient consultations and to aid the total care management of thrombophilia patients. |
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| Laboratory tests: why do we need them? |
Peter Rose, Editor |
Requesting tests in medicine, without considering the consequences should the result come back abnormal, is an all too frequent mistake. |
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| A review of primary care anticoagulation management |
David Fitzmaurice MD Senior Lecturer; Ellen Murray SRN MHS Research Fellow, Department of General Practice, The Medical School, The University of Birmingham; Jim Murray FRCP FRCPath Consultant Haematologist, University Hospital NHS Trust Birmingham |
Long-term oral anticoagulant care has traditionally involved repeated attendance at a hospital anticoagulant clinic because of the need for laboratory testing, expert interpretation of the result and adjustment of warfarin dose. The existing services are now under
even greater strain due to the increasing number of patients requiring long-term anticoagulation, particularly stroke prophylaxis in atrial fibrillation.1 |
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