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Management of brain-heart multimorbidity: a clinical practice guideline - PubMed

7 hours ago
  • #brain-heart multimorbidity
  • #shared decision-making
  • #clinical guideline
  • A new guideline aims to manage comorbid brain and heart conditions, integrating evidence from neurology and mental health.
  • The guideline was developed through a structured process involving expert subgroups, an evidence review team, and patient input.
  • It includes 11 recommendations, focusing on screening for cognitive decline in atrial fibrillation and depression in coronary artery disease.
  • Recommendations also emphasize treating depression in coronary artery disease, cognitive impairment in hypertension, and dyslipidemia in stroke.
  • Vaccination is recommended to help prevent stroke, myocardial infarction, and dementia.
  • Shared decision-making with evidence-based decision aids is encouraged for patients with heart-brain diseases.
  • The guideline targets primary care providers but is also useful for subspecialty care and interprofessional teams.
  • It follows the Appraisal of Guidelines for Research and Evaluation II framework to ensure rigour.
  • A comprehensive conflict of interest statement details various financial and non-financial disclosures from panel members.