@jonny_acheson@Leic_hospital@KirkwoodDW @FiMcD3 Please add Clozapine! So many patients are forced into lengthy or complex admissions because of delays administering this critical medication. 🧠
Some of the @Choose_Psych PsychStars at Day 3 of Congress yesterday… amazed we got this many of us in the same place at the same time!
It’s been a privilege to get to know such a lovely and inspiring bunch of future psychiatry colleagues this year 🥰
@rcpsych#RCPsychIC
Neurodevelopmental disorders.
Greater acknowledgement of disparities of access - for all with mental health difficulties, to all services.
Global health and sustainability.
Frontiers of neuroscience.
#NextGenPsychiatry
Question 2: Careers in psychiatry are challenging; how can you shape your career to be rewarding and sustainable??
Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️
I’m Chiara Cattra, a General Adult SpR in the South East, and Vice Chair of the @rcpsychTrainees 🩷 Psychiatry brings a diversity to each day, and light to dark places. ✨ We are the #NextGenPsychiatry 🩷
#choosepsychiatry
Welcome to the @rcpsychtrainees Twitter Takeover!
Over the next hour, we are going to ask our fantastic tweeters questions about the future of psychiatry – to start we will ask our tweeters to introduce themselves…
Don’t forget to use #NextGenPsychiatry in every tweet!🧠⭐️
🗓️EIGHT weeks to go until our 2024 Trainees' Conference!
Consider future patient care, the role of psychiatrists in the coming decades and how to make psychiatry a sustainable, rewarding lifelong career.
Book now to avoid missing out: https://t.co/lRSqVlFFVJ
#NextGenPsychiatry
Only 15 minutes until our #NextGenPsychiatry Twitter Takeover starts. That’s just enough time to grab a drink before getting to meet all our fantastic tweeters.
Looking forward to tweeting with you all soon.
Don’t forget to use #NextGenPsychiatry in every tweet! 🧠⭐️
Please join us today from 7 to 8pm for our Twitter Takeover!
We can't wait to hear from consultants, medical students, SAS doctors, trainees and experts by experience on #NextGenPsychiatry. A great opportunity to connect and learn about the future of psychiatry🧠 @rcpsychTrainees@DanielaSABorges@aidenera@wendyburn@drraja_
Clozapine-Induced Tachycardia 🫀🩺
Audit of medical files (101 patients)
👉52% of patients on clozapine had heart rates (HR) over 100 beats per minute (bpm), significantly exceeding previous reports.
Clozapine's Unique Cardiovascular Effects 💊
Mechanism of Action:
👉Clozapine's specific effects on HR occur primarily through its anti-muscarinic and chronotropic properties ( via noradrenaline)
👉Dose-dependent HR increase
👉Clozapine : Norcloz ratio associated with ⬆️ risk of tachycardia ( Norcloz ⬇️ risk)
Clinical implications : 🚨
👉Contrary to previous belief that clozapine-induced tachycardia is temporary, findings show that elevated HR can persist even after nearly a decade of treatment.
👉Persistent Tachycardia is associated ⬆️ risk of cardiac remodelling and cardiomyopathy
👉β-blockers are useful in lowering heart rates but they may be insufficient to reduce cardiac risk.
👉The study calls for a reevaluation of the conventional 100 bpm threshold for diagnosing tachycardia, especially in clozapine-treated patients.
👉Given the elevated average HR (about 20 bpm higher than population norms), there's a push to adjust guidelines to better reflect the risks associated with higher heart rates in psychiatric patients.
Paper 👉
https://t.co/0Hg5DuDyII
Read more on Clozapine and Cardiac effects 👉 https://t.co/Xky9r2jQOF
@KaanthanJ @rcpsychTrainees@gmcuk@NHSEngland Lovely to meet another fellow from years apart! Would be great to talk and hear of your experiences - can we arrange? 🙂
@rcpsychTrainees Flexibility is key. Our systems are increasingly adapting to the needs of trainees beyond training alone, including a life that can be flexible around other factors.
LTFT allows me to pursue what I love, in all parts of my life. 💞
No regrets.
#ChoosePsychiatry
@rcpsychTrainees We need to research, communicate, listen. Develop services that are feasible, sustainable and adaptable to individual needs. Welcome difference, in all its forms, for the beauty that it brings. 🏳️🌈✊🏻✊🏽✊🏿🌎✨
#ChoosePsychiatry