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.
Episode 269: 267. Beta Blockers DON'T Help Post-MI
Episode 267: 266. How Many Years Of Smoking Cessation Do You Need?
Episode 266: 265. Semaglutide and Cardiovascular Events in Non-Diabetics (secondary prevention) SELECT TRIAL
Episode 265: 264. Does a Lidocaine Patch Work for Neck Pain?
Episode 264: 263. Rates of Atrial Fibrillation 12 months After Onset of Hospitalized Transient AF
Episode 263: 262. Does Omalizumab Help For Peanut Allergy?
Episode 262: 261. Are Combined Oral Contraceptives Effective for Treating Acne?
Episode 260: QM on Spring Break
Episode 261: 260. SGLT2 Summary Recap
Episode 259: 259. EMPULSE Trial- Empagliflozin and Win Ratios
Episode 258: 258. SOLOIST-WHF -- Sotagliflozin in Patients with Diabetes and Recent Worsening Heart Failure
Episode 257: 256. EMPEROR-Reduced- Cardiovascular Outcomes with Empagliflozin in Heart Failure
Episode 256: 256. DAPA-HF- Dapagliflozin and Heart Failure with Reduced Ejection Fraction - DAPA-HF
Episode 255: 255. Dapagliflozin and Heart Failure with Preserved Ejection Fraction
Episode 254: 254. Empagliflozin For Heart Failure with Preserved Ejection Fraction- EMPEROR-Preserved
Episode 253: 253. EMPA-REG OUTCOME - Type 2 Diabetes and Empagliflozin- How Much Money To Save How Many People?
Episode 252: 252. After Admission to the ICU How Many Patients Remain on a PPI?
Episode 251: 251. Does Weight/BMI Change DOAC Efficacy?
Episode 250: 250. Do Nurse Practitioners Prescribe More or Less Medications From the Beers List?
Episode 249: 249. Is There A Way To Predict Your Risk Of Dementia?
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