Stroke prevention in atrial fibrillation: Past, present and future. Comparing the guidelines and practical decision-making

Concepts and our approaches to stroke prevention in atrial fibrillation (AF) have changed markedly over the last decade. There has been an evolution over the approach to stroke and bleeding risk assessment, as well as new treatment options. An increasing awareness of AF has led to calls to improve t...

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Vydáno v:Thrombosis and haemostasis Ročník 117; číslo 7; s. 1230
Hlavní autoři: Lip, Gregory, Freedman, Ben, De Caterina, Raffaele, Potpara, Tatjana S
Médium: Journal Article
Jazyk:angličtina
Vydáno: Germany 28.06.2017
Témata:
Algorithms
Anticoagulants - adverse effects
Anticoagulants - therapeutic use
Atrial Fibrillation - drug therapy
Decision Making
Hemorrhage - chemically induced
Humans
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Risk Assessment
Stroke - prevention & control
non-vitamin K antagonist oral anticoagulants
Atrial fibrillation
stroke prevention
warfarin
ISSN:2567-689X, 2567-689X
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Shrnutí:Concepts and our approaches to stroke prevention in atrial fibrillation (AF) have changed markedly over the last decade. There has been an evolution over the approach to stroke and bleeding risk assessment, as well as new treatment options. An increasing awareness of AF has led to calls to improve the detection of and population screening for AF. Stroke and bleeding risk assessment continues to evolve, and the ongoing debate on balance between simplicity and practicality, against precision medicine will continue. In this review article, we provide an overview of past, present and the (likely) future concepts and approaches to stroke prevention in AF. We propose three simple steps (the Birmingham '3-step') that offers a practical management pathway to help streamline and simplify decision-making for stroke prevention in patients with AF.
Bibliografie:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Review-3
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ISSN:2567-689X
2567-689X
DOI:10.1160/TH16-11-0876