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 287: 286. Does Hypokalemia cause Heart Badness?
Episode 286: 285. Does Exercise Improve Hip OA?
Episode 285: 284. Do Electronic Cigarettes Increase Smoking Cessation?
Episode 283: 282. New Guidelines For Management of Acute Pancreatitis
Episode 282: 281. What Do You Do With Elevated Childhood Cholesterol?
Episode 281: 280. How Much Weight Does an Obese Mother Need to Gain?
Episode 280: 279. Does Sitting In a Chair Improve Patient Stay in the Hospital?
Episode 279: 278. Does a Swiss Ball Help During Labor and Delivery?
Episode 278: 277. What Do You Do With Subclinical Hypothyroidism?
Episode 277: 276. REDUCE-MI Trial- Should we still Give BBlockers Post-MI?
Episode 276: 275. Do SSRI Increase The Rate Of Bleeding With Anticoagulants?
Episode 275: 274. Do Your Genes ACTUALLY Make You Obese?
Episode 274: 273. Does Telerehabilitation Work For Chronic Knee Pain?
Episode 273: 272. Does Bariatric Surgery Work in Diabetics For Cardiovascular Events
Episode 272: 271. Cologaurd Has a New Test? How Good is it?
Episode 271: 270. Aprocitentan, How Well Does it Work for Resistant Hypertension?
Episode 270: 269. What is the Harm in Aspirin?
Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement
Episode 269: 267. Beta Blockers DON'T Help Post-MI
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