The objective of this study was to determine the prevalence of atrial fibrillation (AF) in a tertiary care centre, to describe the comorbidity profile of hospitalised patients with AF, and to evaluate the appropriateness of their maintenance antithrombotic management.
Estimates of the risk of stroke for men with non-rheumatic atrial fibrillation were obtained from two large cohort studies—the Whitehall Study of London Civil Servants and the British Regional Heart Study.
The impact of nonrheumatic atrial fibrillation, hypertension, coronary heart disease, and cardiac failure on stroke incidence was examined in 5,070 participants in the Framingham Study after 34 years of follow-up.
Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics related to heart disease, stroke, and other cardiovascular and metabolic diseases and presents them in its Heart Disease and Stroke Statistical Update.
Guidelines and recommendations should help health professionals to make decisions in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health professional(s) in consultation with the patient and caregiver as appropriate.
Translating research results into routine clinical practice remains difficult. Guidelines, such as the 2002 American College of Cardiology/American Heart Association Guidelines for the Management of Patients with Unstable Angina and non-ST-segment elevation myocardial infarction, have been developed to provide a streamlined, evidence-based approach to patient care that is of high quality and is reproducible.
A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society.
The general public has been conditioned over many years to accept aspirin as an effective, safe, and inexpensive remedy for heart attacks and for primary and secondary prevention of cardiovascular events.
Identifying independent risk factors for stroke in patients with atrial fibrillation is important for 2 main reasons: it sheds light on stroke pathogenesis associated with this common cardiac dysrhythmia, and it allows stratification of stroke risk for individual patients.
Treatment with a vitamin K antagonist is recommended in patients with atrial fibrillation in the presence of a high thromboembolic risk factor, or at least two moderate risk factors. In patients with a major contraindication, the vitamin K antagonist can be replaced by an antiplatelet agent. These recommendations are not systematically observed in patients with Alzheimer disease. The aim of our study was to determine the factors associated with undertreatment of AF in geriatric outpatients with AD.
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