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A breath of pragmatism

Invited commentary on ... Cardiovascular monitoring with acetylcholinesterase inhibitors

Roger Bullock is Clinical Director of Older People’s Services in Avon and Wiltshire Mental Health NHS Partnership Trust (Kingshill Research Centre, Victoria Hospital, Okus Road, Swindon SN1 4HZ, UK. Email: roger.bullock{at}kingshill-research.org).

What cardiovascular screening is needed before prescribing cholinesterase inhibitors in the memory clinic has led to much debate and contradictory advice – especially concerning the need for electrocardiograms (ECGs). Having looked at the current evidence base Rowland et al have produced simple and pragmatic advice that should be adopted immediately across the many memory clinics currently in operation. It is rare to have simple protocols these days – it is a relief to have such a breath of pragmatism.

Related articles in APT:

Cardiovascular monitoring with acetylcholinesterase inhibitors: a clinical protocol

Jeremy P. Rowland, John Rigby, Adam C. Harper, and Rosalind Rowland
APT 2007 13: 178-184. [Abstract] [Full Text]