However, screening is not recommended because it has not been shown to improve patient outcomes..
Lifestyle recommendations include moderating alcohol use, quitting smoking, exercising, and losing weight if obese. Good news: Coffee need not be restricted.
The authors recommend using a risk score such as CHADS2-VASC to determine the patient’s risk of stroke; if the annual risk of stroke is between 1% and 2% anticoagulation should be considered, and if the annual risk of stroke is greater than 2% then anticoagulation is strongly recommended.
For patients who are low risk (< 1%) — for example, younger than 65 years and without any risk factors for stroke — anticoagulation is not recommended. The guidelines also do not recommend aspirin or aspirin plus clopidogrel for these patients unless there is another indication, such as coronary heart disease.
With regard to the choice of anticoagulant, a standard dose of a direct oral anticoagulant (DOAC) is recommended over vitamin K antagonists like warfarin. The exceptions are patients who those with moderate to several mitral stenosis, and those with a mechanical heart valve.
109. Be Thankful One Article Will Change Your Practice
108. Blood Cultures, Patiromer, and Pregnancy
107. Placebo, Opioid Prescribing, Cancer Screening
106. Kidney disease, Renal outcomes, Hepatitis C, HPV
105. Diabetes, Boxer Fracture, ACOG and contraception
104. Coronary Artery Calcium Score (CAC) - Should You Count On it?
103. Evidence Based Guidelines? When Do You Test Cholesterol?
102. DOAC and hematuria plus a listener question
101. 3A- Aspirin, Asthma, AntiPlatelet
100. 3H episode= Hakuna Matata, HIV, and HPV
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98. A New Drug, Sugar Legacy, Statin in the Elderly
97. Old Women Walking, Energy Drinks, and Antibiotics
96. Sprinting to Induction of Clopidogrel
94. New Afib Guidelines, New standard for SK, and Foley cath + UTI
93. Breakfast, Tramadol, and Knee Osteoarthritis
92. Sports Medicine, Vitamin D, Shared Decision making and Chronic Pain
91. Statins, Oxycodone, Smart Phones, Weight Loss, and Antibiotics
90. HPV, Push-ups, HIV, E-Cigarettes, Expiration Dates
89. Parkinson's, BNP, RIGHT ON PRIME!!
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