Dr. Yvonne Smyth

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Guide for Primary Care – managing anticoagulation for stroke prevention in atrial fibrillation

In this video, Dr. Smyth discusses the management of anticoagulation for stroke prevention in patients with atrial fibrillation, with particular emphasis on practical advice for the primary care setting.
Through a patient case-based approach, and with reference to best practice recommendations and guidelines, Dr. Smyth discusses the four pillars of atrial fibrillation management: rate control, rhythm control, appropriate anticoagulation to prevent thromboembolism and reduce stroke risk, and modifiable risk factor management. Dr. Smyth focuses on common multi-morbid presentations and risk factor management of many patients with atrial fibrillation, and the management of these
concurrent conditions, such as:

  • Hypertension
  • Diabetes
  • Alcohol consumption
  • Obesity and weight management
  • Valvular Heart Disease
  • Chronic Kidney Disease
  • Obstructive Sleep Apnoea
  • Ageing and Frailty


Dr Yvonne Smyth MB FRCPI MA graduated from NUIG in 1997. She completed her internship and
General Professional Training in University Hospital Galway (UHG). Thereafter she worked in
Beaumont, the Adelaide and Meath and Cork University Hospitals before returning to UHG to
complete the Cardiology Specialist Registrar training program. She was enrolled in the specialist
division of the medical registrar in both Cardiology and General Internal Medicine in 2007.

Her particular areas of interest include cardiovascular imaging and heart failure. She undertook a
subspecialty fellowship in Cardiovascular Imaging in the Cleveland Clinic USA and achieved level III board certification from the American Society of Echocardiography in 2008 and 2018.
In 2008 Dr Smyth was appointed as a Consultant Cardiologist in Bon Secours and Kerry General
Hospitals Tralee. In 2013, she took up a joint Cardiology/Acute Medicine consultant post in University Hospital Galway and commenced work in Bon Secours Hospital Galway. In 2015 she became CoLead for the National Acute Medicine Programme. She has a MA in Healthcare Management, Diploma in Clinical Education and is a fellow of the Royal College of Physicians in Ireland.

Dr. Yvonne Smyth

Consultant Cardiologist and General Physician
University College Hospital, Bon Secours Hospital & The Galway Clinic