Risk-benefit ratio assessment for stroke prevention in intermediate risk atrial fibrillation patients: will TEE-based aspirin treatment fill the gap?
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چکیده
منابع مشابه
Risk-benefit ratio assessment for stroke prevention in intermediate risk atrial fibrillation patients: will TEE-based aspirin treatment fill the gap?
Patients with atrial fibrillation (AF) have a 5% annual stroke risk depending on the presence of risk factors, i.e. prior stroke or peripheral embolism, age, hypertension, diabetes, impaired cardiac function, female gender, vascular disease and, echocardiographically, presence of mitral stenosis and moderate or severe left ventricular systolic dysfunction [1, 2]. These risk factors are incorpor...
متن کاملLow-dose aspirin for prevention of stroke in low-risk patients with atrial fibrillation: Japan Atrial Fibrillation Stroke Trial.
BACKGROUND AND PURPOSE Although the efficacy of anticoagulant therapy for primary prevention of stroke in patients with nonvalvular atrial fibrillation (NVAF) has been established, efficacy of antiplatelet therapy for low-risk patients is disputable in Japanese patients because of the frequent hemorrhagic complications. We examined the efficacy and safety of aspirin therapy in Japanese patients...
متن کاملSelecting patients with atrial fibrillation for anticoagulation: stroke risk stratification in patients taking aspirin.
BACKGROUND The rate of stroke in atrial fibrillation (AF) depends on the presence of comorbid conditions and the use of antithrombotic therapy. Although adjusted-dose warfarin is superior to aspirin for reducing stroke in AF, the absolute risk reduction of warfarin depends on the stroke rate with aspirin. This prospective cohort study tested the predictive accuracy of 5 stroke risk stratificati...
متن کاملAspirin for prevention of stroke in atrial fibrillation.
Aspirin for Prevention of Stroke in Atrial Fibrillation To the Editor: In the Japan Atrial Fibrillation Stroke Trial (JAST),1 aspirin at 150 to 200 mg per day does not seem to be either effective or safe for the prevention of stroke in patients with nonvalvular lone atrial fibrillation (AF). JAST is an important trial because many guidelines suggest that low risk patients with AF should be trea...
متن کاملA prediction rule identified patients with atrial fibrillation at low risk for stroke while taking aspirin.
and commentary also appear in ACP Journal Club. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For correspondence: Dr C van Walraven, Ottawa Health Research Institute, Ottawa, Ontario, Canada. [email protected] Source of funding: no external funding. Commentary F or every 100 patients in the community with non-valvular AF, a...
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ژورنال
عنوان ژورنال: Netherlands Heart Journal
سال: 2011
ISSN: 1568-5888,1876-6250
DOI: 10.1007/s12471-011-0119-z