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Beyond stroke prevention, symptom management and control of cardiovascular risk factors are equally needed in AF. Indeed, multi-morbidity is common among AF patients and contributes to worse clinical outcomes and quality of life 31. Therefore, the importance and necessity of modifying cardiovascular risk factors is crucial, and this has demonstrated to decrease disease burden and progression 32. Integrated care, by putting the patient into the center and including other healthcare professionals, aids this objective 18, 33. Previous specialized AF clinics and nurse-led AF clinics have already included this approach with promising results 34, 35, 36. Limitations February 2017: Closing Ceremony Plenary Lecture, at 61 stAnnual Meeting of the Society of Thrombosis and Hemostasis Research (GTH), Basel, Switzerland, February 15 th– 18 th2017. Boriani G, Vitolo M, Lane DA, Potpara TS, Lip GY. Beyond the 2020 guidelines on atrial fibrillation of the European society of cardiology. Eur J Intern Med. 2021. Yoon M, Yang PS, Jang E, et al. Improved population-based clinical outcomes of patients with atrial fibrillation by compliance with the simple ABC (atrial fibrillation better care) pathway for integrated care management: a nationwide cohort study. Thromb Haemost 2019;19:1695–703.
Pastori D, Menichelli D, Violi F, Pignatelli P, Lip GYH. The Atrial fibrillation Better Care (ABC) pathway and cardiac complications in atrial fibrillation: a potential sex-based difference. The ATHERO-AF study. European Journal of Internal Medicine. 2020;85:80-5. With regard to clinical management, clinical risk scores developed and validated by Professor Lip's work to assess stroke & bleeding risk in atrial fibrillation (AF) (ie. CHA 2DS 2-VASc & HAS-BLED) are used in national/international management guidelines, eg. UK National Institute for Health & Care Excellence (NICE, 2006 & 2014), European Society of Cardiology (ESC 2012, 2016), Canadian Cardiovascular Society (2012), Asia Pacific Heart Rhythm Society (APHRS 2013, 2017), American Heart Association/American College of Cardiology/Heart Rhythm Society guidelines (2014) etc.Guo Y, Wang H, Zhang H, et al. Mobile photoplethysmographic technology to detect atrial fibrillation. J Am Coll Cardiol 2019;74:2365–75. Both employees and self-employed workers will pay less in National Insurance from next year, Chancellor Jeremy Hunt has announced in today's Autumn Statement. I relate to a letter in Soldier Magazine regarding entitlement to Get You Home (Travel) for a married accompanied soldier living in SFA who owns his own property elsewhere which is not rented. He questions whether or not he is entitled to GYH(T). The response stated that he was entitled to GYH(T) and prior to JPA should have been entitled to GYH(SA). Unless anyone want`s to contest this be content with the fact that you are now eligible!! HOORAH!!!
March 2016, Opening Plenary guest lecturer: Dutch Cardiology Society Conference,Noordwijkerhout, The Netherlands Updated: Directed letter (update 1) - continuity of education allowance (CEA) - regulatory flexibility in response to coronavirus (COVID-19). Editor in Chief (Clinical Studies) [2010-] of ‘Thrombosis & Haemostasis’ (2016 Impact factor 5.627).Currently, it doesn’t matter if the vehicle you use is a manual, automatic, diesel, petrol or an electric vehicle – each person claiming from the MOD will receive the same amount per mile. Kirchhof P, Camm AJ, Goette A, et al. Early rhythm-control therapy in patients with atrial fibrillation. N Engl J Med 2020;383:1305–16.
Professor Lip has regular invitations to deliver Keynote/plenary lectures at International/Major National Meetings, often delivering the Opening Ceremony inaugural lecture, or Named Lecture at major congresses. Some recent examples (selected) as follows: Gallagher C, Hendriks JM, Nyfort-Hansen K, Sanders P, Lau DH. Integrated care for atrial fibrillation: the heart of the matter. Eur J Prev Cardiol. 2020. Autumn Statement: State pension confirmed to rise by 8.5% from April 2024 – while some benefits will go up by 6.7% National Institute for Health Research (NIHR): Independent chairman of trial steering committee forNIHRResearch for Patient Benefit-funded randomised trial: Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT) (PMID:26314489); A regular contributor of commentaries toNIHR Dissemination Centre and a regularpeer reviewer of NIHR grantsand study reports forNIHR Journals Library. Principal investigator of theNIHR EME-funded IMPRESS-AF trial and co-applicant for ongoingNIHR-funded Research for Patient Benefit randomised trial (CBT-AF)which investigates cognitive behavioural therapy & education/counselling to improve outcomes in AF (2015-). Currently member of NIHR College of Senior Investigators (2017-). and JSP 752. Added Directed letter (DL): school children’s visits (SCVs). Enhanced interim arrangements in response to coronavirus (COVID-19) for service personnel assigned overseas.
Member ofCouncil, Royal College ofPhysicians of Edinburgh (2015-) and has acted as West MidlandsRegional Adviser for the RCPE (2013-). Professor Lip has ledvarious 'real world' registries, as well ashealth economicanalyses and outcomes researchindependently or industry-sponsored(see PMID: 26316345;PMID: 26477648).Some have been used to inform NICE cost-effectiveness models and appraisals, allowingthe NHS and public sector to make informeddecisions with efficient use of resources.
The scale was developed in 2010 to complement the previous ruling scale - CHADS2 - with stroke risk factors, like female sex, vascular disease, and age. Since then, the American Heart Association has recommended it. Half of his time is spent as a clinical cardiologist, and he practises the full range of cardiovascular medicine, including outpatient clinics (leading large atrial fibrillation and hypertension specialist services), interventional cardiology and coronary care unit. Turakhia MP, Desai M, Hedlin H, et al. Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: the Apple Heart Study. Am Heart J 2019;207:66–75. Get You Home (Travel): The maximum GYH(T) claim remains capped at the 530-mile journey distance regardless of any greater distance actually travelled. AF has major clinical implications on patients’ quality of life, morbidity with ischaemic stroke and heart failure, and mortality when compared with the general population. 1 AF is the most common sustained arrhythmia and it has been calculated that it will affect 17.9 million adults in the EU and the UK by 2060. 2 The increasing prevalence of AF is driven mainly by the ageing population and the high burden of risk factors and comorbidities, which raises significant issues about the use of healthcare systems and economic costs. 2–4Potpara TS, Lip GYH, Blomstrom-Lundqvist C, et al. The 4S-AF scheme (stroke risk; symptoms; severity of burden; substrate): a novel approach to in-depth characterization (rather than classification) of atrial fibrillation. Thromb Haemost 2021;121:270–8. Pastori D, Farcomeni A, Pignatelli P, Violi F, Lip GY. ABC (Atrial fibrillation Better Care) Pathway and Healthcare Costs in Atrial Fibrillation: The ATHERO-AF Study. Am J Med. 2019;132(7):856-61. Autumn Statement: Workers to pay less in national insurance – but rate cuts don't offset the freezing of personal tax thresholds Added: Directed Letter - involuntarily separated status for service personnel being assigned overseas. Regulatory flexibility in response to coronavirus. Andrade JG, Aguilar M, Atzema C, Bell A, Cairns JA, Cheung CC, et al. The 2020 Canadian Cardiovascular Society/Canadi
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