Figure 1. Decision-making process of stroke prevention in patients with AF from Asia. The decision-making process includes stroke risk evaluation, OAC.

Slides:



Advertisements
Similar presentations
AF and NOACs An UPDATE JULY 2014
Advertisements

The GARFIELD Registry is funded by an unrestricted research grant from Bayer Pharma AG Case discussion The patient caught between.
Atrial Fibrillation Now and Then Min-Yen Han,M.D. November 15,2014.
Accuracy of CHADS2, CHA2DS2- VASC and HAS-BLED scores in evaluation of stroke and bleeding risk First author: Alexandra Murar Co-author: Andreia Gherasâm.
CHADS 2 -> CHA 2 DS 2 VASc. CHA2DS2-VASc Risk Score CHF or LVEF < 40% 1 Hypertension1 Age > 752 Diabetes1 Stroke/TIA/ Thromboembolism 2 Vascular Disease.
Rhythm and Rate Control for Atrial Fibrillation Tom Wallace, MD Cardiac Electrophysiology CHI St. Vincent Heart Clinic Arkansas.
Stoke On Trent CCG – Atrial Fibrillation Service AF Nurse in GP Practice Interfacing Primary and Secondary Care for AF Stroke Prevention Jodie Williams.
Date of download: 6/21/2016 Copyright © The American College of Cardiology. All rights reserved. Benefit of Anticoagulation Unlikely in Patients With Atrial.
Postulated Association Between AF and Stroke
Case 66 year old male with PMH of HTN, DM, ESRD on renal replacement TIW, stroke in 2011 with right side residual weakness, atrial fibrillation, currently.
CHA2DS2-VASC and CHADS2 Scores Predict Adverse Clinical Events in Patients With Pacemakers and Sinus Node Dysfunction Independent of Atrial Fibrillation 
Guidelines for stroke prevention in patients with atrial fibrillation
Copyright © 2011 American Medical Association. All rights reserved.
Understanding Atrial Fibrillation and Stroke Risk
Volume 149, Issue 6, Pages (June 2016)
Difficult situations in anticoagulation after stroke
2016 Guidelines of the Taiwan Heart Rhythm Society and the Taiwan Society of Cardiology for the management of atrial fibrillation  Chern-En Chiang, Tsu-Juey.
Exploring Factors Associated with Preferential Prescribing of Apixaban Over Warfarin in Patients with Non-Valvular Atrial Fibrillation Scott McColgana,
How Do We Incorporate Patient Perspectives Into Clinical Trial Design?
Antithrombotic Therapy in Atrial Fibrillation
An approach to using risk scores for stroke and bleeding in clinical practice. An approach to using risk scores for stroke and bleeding in clinical practice.
Anticoagulation in Atrial Fibrillation
No evidence that AF type significantly impacts stroke risk
Epidemiology of Atrial Fibrillation in Europe:
Covering the Bases in Cardioversion
Circ Cardiovasc Qual Outcomes
CHA2DS2-VASc Scoring System General AF Treatment Guidance.
Burden of Atrial Fibrillation The Percentage of Strokes Attributable to AF Increases With Age.
Non-vitamin K antagonist oral anticoagulants (NOACs) for stroke prevention in Asian patients with atrial fibrillation: Time for a reappraisal  Gregory.
Novel oral anticoagulants in comparison with warfarin
Click here for title Click here for subtitle
CHADS2 Score Predicts Postoperative Atrial Fibrillation in Patients Undergoing Elective Pulmonary Lobectomy  Svetlana Kotova, MD, Mansen Wang, PhD, Katie.
2016 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation  Laurent Macle, MD, John Cairns, MD, Kori.
Focused 2012 Update of the Canadian Cardiovascular Society Atrial Fibrillation Guidelines: Recommendations for Stroke Prevention and Rate/Rhythm Control 
Mechanisms, Clinical Significance, and Prevention of Cognitive Impairment in Patients With Atrial Fibrillation  Lena Rivard, MD, MSc, Paul Khairy, MD,
Barriers to Oral Anticoagulant Use for Stroke Prevention in AF
Appropriate Stroke Prevention Strategies in Atrial Fibrillation
Nat. Rev. Cardiol. doi: /nrcardio
Oral Anticoagulants in AFa,b A Brief History.
Selecting NOACs for High-Risk Patients
Revealing Characteristics of Patients at High Risk for Developing Atrial Fibrillation.
Stroke and AF.
Assessing the Risk for Stroke in Patients With Atrial Fibrillation
CHA2DS2-VASc Score Is Directly Associated with the Risk of Pulmonary Embolism in Patients with Atrial Fibrillation  Walid Saliba, MD, MPH, Gad Rennert,
What Anticoagulant Registries Are Revealing
Atrial Fibrillation.
Gregory Y.H. Lip, MD, Jonathan L. Halperin, MD, Hung-Fat Tse, MD, PhD 
Antithrombotic Therapy for Atrial Fibrillation
Volume 145, Issue 1, Pages (January 2014)
Evaluation of the HAS-BLED, ATRIA, and ORBIT Bleeding Risk Scores in Patients with Atrial Fibrillation Taking Warfarin  Keitaro Senoo, MD, Marco Proietti,
2014 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation  Atul Verma, MD, John A. Cairns, MD, L.
Left atrial appendage exclusion: An alternative to anticoagulation in nonvalvular atrial fibrillation  Kareem Bedeir, MBChB, MS, David R. Holmes, MD,
Isla M. Ogilvie, PhD, Nick Newton, PhD, Sharon A
Improving Outcomes in AF: Do the NOACs Hold Their Promise In The Real World?
Optimizing Atrial Fibrillation Management
2018 Focused Update of the Canadian Cardiovascular Society Guidelines for the Management of Atrial Fibrillation  Jason G. Andrade, MD, Atul Verma, MD,
5 Good Minutes on Atrial Fibrillation-related Stroke
Stroke and Bleeding Risk Co-distribution in Real-world Patients with Atrial Fibrillation: The Euro Heart Survey  Maura Marcucci, MD, Gregory Y.H. Lip,
The American Journal of Medicine
Adjusted ORs of AF within 30 days after bereavement with specific characteristics versus non-bereaved with the same characteristics. * *The vertical dashed.
Erratum Canadian Journal of Cardiology
Forest plot illustrating the risk ratio of any bleeding and GRADE assessment. AF, atrial fibrillation; DOAC, advent of direct oral anticoagulants; PCI,
Figure 8. Stroke prevention strategy in patients with AF
Gianluigi Savarese et al. JCHF 2016;4:
Forest plot illustrating the risk ratio of major bleeding
Extraordinary Cases in Stroke Prevention
Forest plot illustrating the risk ratio of myocardial infarction
Forest plot illustrating risk ratio of stent thrombosis
by Deborah M. Stephens, and John C. Byrd
The CHA(2)DS2-(VASc) stroke risk and HAS-BLED bleeding risk index are calculated by totalling the scores for each risk factor present.68–71 The lower graph.
Presentation transcript:

Figure 1. Decision-making process of stroke prevention in patients with AF from Asia. The decision-making process includes stroke risk evaluation, OAC choosing and bleeding risk control. Stroke and bleeding risk re-evaluation should be made at each medical contact.AF = atrial fibrillation; CHA2DS2-VASc = congestive HF, hypertension, age ≥75 (2 points), diabetes mellitus, previous stroke/TIA (2 points), vascular disease, age 65–74, sex category (female gender); HAS-BLED = hypertension, abnormal renal/liver function, stroke, bleeding history or predisposition, labile international normalized ratio, elderly, drugs/alcohol concomitantly; NOAC = non-vitamin K antagonist oral anticoagulant; OAC = oral anticoagulation; TTR = time in therapeutic range; VKA = vitamin K antagonist. *Including patients' preference, risk factor severity (such as blood pressure control), bleeding risk. Figure 1. Decision-making process of stroke prevention in patients with AF from Asia. The decision-making process includes stroke risk evaluation, OAC choosing and bleeding risk control. Stroke and bleeding risk re-evaluation should be made at each medical contact.AF = atrial fibrillation; CHA2DS2-VASc = congestive HF, hypertension, age ≥75 (2 points), diabetes mellitus. . . Korean Circ J. 2018 Aug;48(8):665-684. https://doi.org/10.4070/kcj.2018.0190