Dr Paul Guyler

I am a Physician with a Specialist expertise in Stroke and Vascular medicine, Geriatric medicine and General medicine. In 1993, I undertook a BSc at the Atkinson Morley Neuroscience Center, London with research evaluating medication used to combat complications in subarachnoid haemorrhage. I graduated from St. Georges’ Hospital Medical School, London, and trained in my specialties in London (South West Thames Region) before moving to take up a post in Southend in 2007. I became Lead Consultant in Stroke medicine in 2010 and have led the stroke team to provide excellence in quality of stroke care and innovation which has been backed up by multiple independent healthcare awards (including National Health Service Journal, Health and Social care, and Quality in anti-coagulation awards). My professional interests cover all aspects of: • Geriatric Medicine • General Medicine • Stroke Medicine • Vascular medicine • TIA (Transient Ischaemic attacks – minor stroke) • Atrial Fibrillation and anticoagulation Stroke and Vascular medicine is about medical problems which ‘fur up arteries’, and cause damage to the brain – usually via a blood clot blocking a cerebral artery, or a burst blood vessel causing brain haemorrhage. I have particular expertise in carotid artery atherosclerosis and treatments for preventing stroke - these include conditions such as atrial fibrillation (AF), hypertension and cholesterol disorder. Stroke and vascular disease is an increasing problem in our community, and routine care often requires some specialist input. People with early arterial atherosclerosis (particularly if found in the carotid arteries) ,a history of stroke in the family, or who have suffered TIA or stroke, often have concerns about choice of treatment, the complications of stroke disease or their proposed medications and what the future holds; I am able to provide information and care to patients with these conditions. I have previously contributed to many regional and national specialist roles; these have included: Honorary Consultant at Cambridge University Hospitals Foundation Trust for Stroke Telemedicine Lead for Acute stroke in Essex Cardiac and Stroke Network Lead for Stroke in Essex and Hertfordshire Comprehensive Local Research Network Lead consultant to the East of England Stroke Forum Steering Group National Stroke Improvement Programme Associate Member of National Priority project stroke prevention: managing atrial fibrillation (part of NHS Improvement) Joint Lead consultant for Stroke medicine for the Mid- and South Essex STP Research interests: I am very actively involved in research, and I am Principal Investigator for various multi-centre international studies.

Appropriate use of medication/polypharmacy General Medicine Geriatric medicine Holistic approach to patients’ medical problems and medication Investigation of ‘Funny turns’ or unresponsiveness Issues around anticoagulation to prevent stroke in patients with atrial fibrillation Management of complicated high risk cardiovascular/cerebrovascular disease Prevention of stroke and atherosclerosis (‘furred up arteries’) Stroke Medicine Vascular medicine including: TIA (Transient Ischaemic attacks – minor stroke)