Annual Review for Patients with a History of stroke or TIA
If you have had a stroke or a transient ischemic attack (TIA), annual reviews are needed to monitor your health and reduce the risk of further strokes or other related complications.
Regular reviews help ensure you receive the necessary care, treatment, and support to manage your condition effectively.
1. Blood Pressure Monitoring
- Why is it important? High blood pressure (hypertension) is one of the main risk factors for stroke. Keeping your blood pressure in a healthy range can significantly reduce the risk of having another stroke.
- What to expect: Please provide the surgery with your home blood pressure readings or use the POD in the Emsworth reception area or ask your pharmacist to check it for you. Your blood pressure will be assessed, and if it is high, we may adjust your medication or recommend lifestyle changes.
2. Cholesterol and Lipid Profile
- Why is it important? High cholesterol and other lipid levels can contribute to the build-up of fatty deposits in the arteries, which can increase the risk of stroke.
- What to expect: Blood tests will be carried out to check your cholesterol and lipid levels. We may suggest medication or dietary changes if needed. Pharmacists help with this role in Emsworth surgery.
3. Blood Sugar Levels
- Why is it important? Diabetes or high blood sugar increases the risk of stroke. Regular monitoring helps prevent complications.
- What to expect: You may be asked for a blood test to measure your blood sugar levels. If necessary, we will discuss lifestyle changes or medications to keep your blood sugar stable.
4. Medication Review
- Why is it important? If you have had a stroke or TIA, you may be prescribed medications to prevent another stroke. It’s essential to regularly review your medications to ensure they are effective and to discuss any side effects.
- What to expect: We will review any medications you are taking after your tests as above to check your medications are appropirate, These may include antiplatelet drugs, blood thinners, and statins, to make sure they are still appropriate for your health needs.
5. Heart Health
- Why is it important? Some strokes are related to heart problems, such as atrial fibrillation (an irregular heartbeat), which increases the risk of stroke.
- What to expect: We may check your heart rate and rhythm, and you may undergo tests such as an ECG (electrocardiogram) if you are at risk for heart-related issues.
6. Lifestyle and Risk Factor Management
- Why is it important? Lifestyle factors such as smoking, alcohol consumption, diet, and physical activity can all impact your risk of having another stroke.
- What to expect: Your healthcare team will discuss your lifestyle habits and offer advice on making healthier choices, such as quitting smoking, eating a balanced diet, and staying active.
7. Neurological and Cognitive Function Assessment
- Why is it important? stroke can sometimes lead to cognitive or neurological changes, such as memory problems or difficulty with thinking and concentration.
- What to expect: Your doctor may assess your cognitive function and look for any signs of cognitive impairment or changes in your ability to carry out everyday tasks.
8. Psychological Well-being
- Why is it important? Experiencing a stroke or TIA can affect your mental health. Conditions like depression and anxiety are common after a stroke.
- What to expect: Your healthcare provider will ask about your mental health and may offer support or refer you to a specialist if needed.
9. Referral to stroke or TIA Specialist Services (if necessary)
- Why is it important? If any new concerns or complications arise during the review, your doctor may refer you to specialist services such as a stroke rehabilitation team or a neurologist.
- What to expect: If you are referred to a specialist, further investigations or treatments may be offered to help you manage your condition.
10. Screening for Additional Risk Factors
- Why is it important? Additional conditions like atrial fibrillation, carotid artery disease, or sleep apnoea may increase your risk of further strokes.
- What to expect: Your doctor may suggest additional screenings or tests, depending on your individual risk factors.
Additional Resources:
For more information, you can visit the following websites:
Regular check-ups are essential in managing your health after a stroke or TIA.
By working with your healthcare team, you can reduce the chances of having another stroke and improve your overall well-being.