For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Teacher with severe chest pains learns cause is more than just cardiological
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In print
Teacher with severe chest pains learns cause is more than just cardiological
Wednesday 9 May 2018, 10:09 AM

HEARTBEAT
A teacher returns to cardiac health after hospital admission for recent-onset chest pains, and a new medical challenge must be faced. Auckland cardiologist Chris Ellis discusses the interplay between cardiology and oncology in this case
Key points
Marked ST-segment elevation on ECG can be seen in both pericarditis and cardiac ischaemia.
With a STEMI, and with the ischaemia, t, ECG, The ECG shows sinus rhythm, a normal axis of +60 degrees and a heart rate of 86 beats/minute
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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