Stroke remains a major cause of death and disability, highlighting the intimate relationship between cardiovascular and cerebrovascular disease. Despite substantial advances in diagnosis and treatment, marked disparities in access to care and clinical outcomes continue to exist. As such, stroke remains a shared challenge for primary care physicians, cardiologists, and neurologists, emphasizing the need for effective prevention, timely intervention, structured rehabilitation, and optimal secondary prevention. In this issue, we feature the Executive Summary of the 2024 Clinical Practice Guidelines on the Management of Acute Ischemic Stroke and Intracerebral Hemorrhage in the Philippines, an important resource for promoting evidence-based, patient-centered care and improving stroke outcomes.

Cardiologists ; Cerebral Hemorrhage ; Ischemic Stroke ; Philippines ; Stroke ; Cerebrovascular Disorders

Stroke remains a major cause of death and disability, highlighting the intimate relationship between cardiovascular and cerebrovascular disease. Despite substantial advances in diagnosis and treatment, marked disparities in access to care and clinical outcomes continue to exist. As such, stroke remains a shared challenge for primary care physicians, cardiologists, and neurologists, emphasizing the need for effective prevention, timely intervention, structured rehabilitation, and optimal secondary prevention. In this issue, we feature the Executive Summary of the 2024 Clinical Practice Guidelines on the Management of Acute Ischemic Stroke and Intracerebral Hemorrhage in the Philippines, an important resource for promoting evidence-based, patient-centered care and improving stroke outcomes.

Cardiologists ; Cerebral Hemorrhage ; Ischemic Stroke ; Philippines ; Stroke ; Cerebrovascular Disorders

Humans ; Cardiologists ; Neoplasms/drug therapy* ; Medical Oncology ; Heart ; Oncologists

A multidisciplinary approach was undertaken in a case of a 38 year old G1P0 who came in at 33 1/7 weeks age of gestation with a chief complaint of persistent cough. Aside from persistent non-productive cough, the patient was otherwise asymptomatic despite a 2D echocardiogram of global hypokinesia and an ejection fraction of only 32 percent. Assessment was uterine pregnancy 33 1/7 weeks age of gestation, dilated cadiomyopathy with severe left ventricular dysfunction, congestive heart failure (CHF) Class 1A. Patient underwent primary low transverse cesarean section (vertical) with left uterine artery ligation and bilateral tubal ligation and delivered to a live baby boy with APGAR score of 6,9, birth weight of 1,581g, birth lenght of 42cm, maturity score of 35 weeks small for gestational age. This case attests to the importance of  pre conceptional counselling and prenatal care with active contributions of specialized obstetrician, cardiologist, internist and anesthesiologist

Human ; Female ; Adult ; Gestational Age ; Birth Weight ; Uterine Artery ; Anesthesiologists ; Cardiologists ; Sterilization, Tubal ; Hypokinesia ; Stroke Volume ; Maternal Age ; Parturition ; Ventricular Dysfunction, Left ; Heart Failure

The Philippine Council for Health Research and Development-Department of Science and Technology (PCHRD-DOST), and the Philippine College of Surgeons (PCS) signed a Memorandum of Agreement on 1 June 1999, whereby both agreed to support the formation of Evidence-Based Clinical Practice Guidelines (EBCPGs) on specific areas of surgical care in the Philippines. The areas were to be specified by the PCS, and those areas should have a reasonably large potential of improving the quality of patient care throughout the country, and can be implemented nationwide in both government and private health facilities The first clinical area selected was on when to refer for preoperative cardiac evaluation for elective noncardiac surgery, and when would the intraoperative presence of a cardiologist be beneficial. A Technical Working Group (TWG) was appointed, which: 1) searched and appraised the evidence; 2) prepared a first draft EBCPG; 3) presented the evidence to a Panel of Experts; 4) supervised the panel using the nominal group technique (6 November 1999 - PCS Building); and 5) prepared the second draft EBCPG based on the consensus recommendations of the panel. All processes strictly conformed to the methods of evidence-based guidelines formation specified by evidence-baesd medicine texts The second draft EBCPG was presented on 11 December 1999 during the 55th Clinical Congress of the PCS, and the final draft approved by the PCS Board of Regents on 29 January 2000 Literature search was conducted through the MEDLINE, COCHRANE Library an the HERDIN Database. A total of 2,156 titles, 427 abstracts and 77 full text articles were appraised. Data from 23 prospective cohort studies were encoded into the software COCHRANE Review Manager (RevMan), Version 3.0 for Windows (updated October 7, 1996). Tables were generated which contained authors, outcome rates, relative risks and the 95% confidence intervals of the relative risks. Three perioperative outcomes were identified-cardiac morbidity, cardiac death, and overall cardiac events

Human ; Risk ; Cardiologists ; Surgeons ; Research ; Publications ; Patient Care ; Health Facilities