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 216: 216. AFIB- RATE or ABLATE-- New guidelines
Episode 215: 215. Enteric coated or uncoated aspirin, which is better or safer?
Episode 214: 214. NEW FORMAT-- What is the best drug for alcohol use disorder?
Episode 213: 213. Heart Failure CME lecture
Episode 212: 212. Stroke and TIA management and update
Episode 211: 211. Pharmacogenomics Testing, PHASER,
Episode 210: 210. An Evidence Based Update for Hospitalist
Episode 209: 209. Medical Update -- kidney stones, statins, iron, heart failure, vitamin D
Episode 208: 208. Medical Update- VIP medicine, Pre-Diabetes, Prevent food allergies, PRP
Episode 207: 207. Medical Update-- DOAC, Warfarin, diabetes, venous thromboembolism, EMPA-KIDNEY, Empagliflozin
Episode 206: 206. Testosterone Replacement Therapy
Episode 205: 205. Medical Update
Episode 204: 204. Medical Update- skin exam, ddp4, IUD, oral hypertension medication
Episode 203: 203. Medical Update 203 -- HEAD CT, Weekend warrior, REDUCE-IT, SGLT-2, HF, DMARD, Blood test
Episode 202: 202. repost mammograms part 2
Episode 201: 201. repost mammograms part 1
Episode 200: 200. COVID 4th Vaccine, Vitamin D, Statin
Episode 199: 199. weight gain semaglutide, Asthma, olive oil, Hypertension in pregnancy
Episode 198: 198. A Q&A on low back pain
Episode 197: 197. Low Down on Low Back Pain
Create your
podcast in
minutes
It is Free
Good Nurse Bad Nurse
The Relaxback UK Show
On Call With Dr. Anselm Anyoha
The Doctor’s Farmacy with Mark Hyman, M.D.
The Peter Attia Drive