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 307: 306. METHODS MONDAY! What is the 95% Confidence Interval?
Episode 306: 305. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline
Episode 305: 304. METHODS MONDAY- What is Power?
Episode 304: 303. Associations Between Surrogate Markers and Clinical Outcomes
Episode 303: 302. Effects of statin therapy on diagnoses of new-onset diabetes
Episode 302: 301. Development and Validation of the American Heart Association's PREVENT Equations
Episode 301: 300. A New Trial On Beta Blockers and COPD
Episode 300: 299. When Do You Use a Cluster RCT?
Episode 299: 298. Do We Have a Reversal Drug for DOACs? ANNEXA or Andexanet
Episode 298: 297. Which one of the CHADVASC is worse?
Episode 297: FIXED! 296. Is There a Drug That Will Keep Alcoholics Out of the Hospital?
Episode 296: 295. What is the Best Blood Pressure In the Nursing Home?
Episode 295: 294. SGLT2 Inhibitors and Stage 5 CKD
Episode 294: 293. Should GLP-1 Agonist be Held Prior to Procedure or Surgery?
Episode 293: 292. An Antibiotic RCT for Community Acquired Pneumonia
Episode 292: 291. Does CHATGPT Have a Career In Pathology?
Episode 291: 290. When Should You Use IV Albumin?
Episode 290: 289. Which GLP-1 is the Best Weight Loss Drug?
Episode 289: 288. An RCT for Time Restricted Eating!
Episode 288: 287. A New FDA Approved Drug for Chronic Rhinosinusitis
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