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Recipe Name:

Identify active stroke/TIA patients who are not on blood pressure lowering medications.

Rationale:

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.

Target:

Effectively identify all stroke / TIA patients who should be on blood pressure lowering medications irrespective of BP levels (unless contraindicated).

CAT Starting Point:

1. CAT Open
2. Population Extract Loaded and Extract Pane "Hidden"
3. OPTIONAL ONLY{*}: Filter Pane Open and, under the General Tab, "Active Patients (3x < 2 years)" selected

*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.