Changing Horizons in Gerontology: Primary and Secondary Prevention in Stroke – 17th June

17 June 2021

Organised by: Irish Gerontological Society


Changing Horizons in Gerontology Primary and Secondary Prevention in Stroke –An Update

Thursday, 17th June 2021     15.00-16.30


Stroke is one of the leading causes of death and disability in Ireland and it disproportionately affects older adults. In many cases, stroke and recurrent stroke can be prevented with appropriate diagnostics, treatment and lifestyle changes. Our webinar “Primary and Secondary Prevention in Stroke – An Update” will provide a broad multi-disciplinary overview of options available to clinicians.

Atrial fibrillation (AF) is an age-associated condition and a common cause of stroke particularly in older adults. If AF is identified and well managed, it can reduce the risk of stroke and other outcomes including cardiovascular events and dementia. Dr John Keany from the Mater hospital will outline how to apply recent European guidelines on AF to older adults.

The prevention of recurrent stroke in older adults requires a multi-disciplinary approach to identify and manage the large number of risk factors that can contribute to the condition. Nora Cunningham from University Hospital Limerick will outline the role of Advance Nurse Practitioners in this field. Dr Olive Lennon, a physiotherapist and leading researcher in the area of non-pharmacological and non-surgical secondary stroke prevention, will provide an update on available avenues.

To conclude the webinar, there will be an update on the pharmacological management of AF with NOACs and how this can prevent stroke in older people.


Moderators-  Dr Mary Walsh & Dr Paul Cotter

Welcome -     Dr Mary Walsh

Introduction -   Dr Paul Cotter

The latest ESC guidelines on AF – how do we apply to our older patients? - John Keany 

Advanced Nurse Practitioner-Led Secondary Prevention Services for Stroke – The Future is now Nora Cunningham

Non-pharmacological, non-surgical avenues for stroke secondary prevention Olive Lennon

Prevention with NOAC in Older People     Paul Cotter



Paul Cotter: Dr Paul Cotter qualified in University College Cork and trained in Ireland and Cambridge, UK as a geriatrician and stroke physician. He completed his Doctorate at the University of Cambridge on cardiac causes of stroke, where he published the first series on the use of implantable loop recorder monitoring in cryptogenic stroke. He now works as a geriatrician and stroke physician in St Lukes Hospital Kilkenny, where he has developed a Reveal LINQ implant service

Rose Anne Kenny is Professor of Medical Gerontology and Head of the academic department of Medical Gerontology at Trinity College Dublin. She is the present President of the IGS. She is also director of the recently established Mercer’s Institute for Successful Ageing (MISA) at St. James’s Hospital Dublin, which is a state of the art facility hosting ambulatory care, inpatients, education and research facilities for older adults. She is the founding Principal Investigator of Ireland’s largest adult population study on the experience of ageing– for The Irish LongituDinal study on Ageing  (TILDA). She has a high international standing for her research on ageing ranked in the top 5% of geriatric medicine publications.


Olive Lennon is the Associate Dean for Post-graduate research education at the UCD School of Public Health, Physiotherapy and Sports Science. She has over 20 years clinical and research experience in stroke rehabilitation in Ireland and the US and is a former HRB Health Services Research Fellow.

She is the current Chair of INSSPiRe, an International Network of Stroke Secondary Prevention Researchers and is PI on a H2020 project PROGAIT and an SFI Frontiers Project The 3Rs and is a partner on the HRB collaborative doctoral award iPASTAR.

Dr Mary Walsh is the IGS Health and Social Care Profession’s representative since 2018 and a physiotherapist. She is currently a HRB funded postdoctoral fellow exploring outcomes after hip fracture, based in the UCD School of Public Health, Physiotherapy and Sports Science. Her PhD, completed in RCSI in 2016, focussed on falls after stroke. Her research interests encompass stroke recovery, fracture prevention and improving patient outcomes at a health system level.

Dr John Keaney graduated from UCD in 2004. After completing his initial training in Cardiology in Ireland, he undertook a fellowship in cardiac electrophysiology at Massachusetts General Hospital. Dr Keaney is based in the Mater Misericordiae University Hospital, where he is currently the director of EP services. His areas of research interest are predominantly catheter ablation of AF and stroke prevention in AF.​


Nora Cunningham – works as Advanced Nurse Practitioner in Acute Stroke. She has worked for over 15 years in stroke services and has been involved in both locally and nationally in implementing change in stroke services. In 2019, she became the first stroke nurse in the world to implant ICM’s and has set up a Nurse Led ICM clinic in her hospital.

Due to priorities dictated by the COVID-19 pandemic, the programme, speakers and panel may be subject to change any time before this event. 

This page will be updated at the earliest opportunity in the event of any such changes