Identify active stroke/TIA patients who are not on blood pressure lowering medications.
All patients should be on blood pressure lowering therapy irrespective of BP levels (unless contraindicated). Lowering blood pressure even by small amounts (<10 mm Hg systolic, <5 mm Hg diastolic)
reduces stroke and cardiovascular events by 20-25%. Currently the strongest evidence exists for the use of an ACE inhibitor in combination with a diuretic agent or using an ACE inhibitor agent alone1.
Effectively identify all stroke / TIA patients who should be on blood pressure lowering medications irrespective of BP levels (unless contraindicated).
CAT Starting Point:
*The decision to select either "Active" or "All" patients is left to the practice to make
1 National Stroke Foundation. Clinical Guidelines for Stroke and TIA Management: A guide for general practice, pp4, 2008.
In the Filters Pane:
1. In the "Conditions" tab select "Stroke" – Yes
2. In the "Medications" tab under "Medications – Heart" select
- ACE or ARB - No
- Beta Blockers - No
- Diuretics – No
3. Click "Recalculate"
4. Click "View Pop"
The list displays all active Stroke patients who are currently NOT on blood pressure lowering medication and their last visit and assigned provider.
To Export Patient List to Microsoft Excel:
1. Click on the “Export Icon”at the top of the Patient Reidentification window.
2. Click on “Excel”
3. Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)
4. Click “Save”
The steps above will produce a list of patients with contact details in MS Excel which can then be used to:
1. Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records
2. Phone patients to update their record
3. Produce a mail merge to recall patients for follow up
This CAT Recipe was submitted by
National Stroke Foundation
and supports their Clinical Guidelines for Stroke
and TIA Management: A guide for general practice, 2008.