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 187: 187. FAFP CME -- Top Articles of 2021
Episode 186: 186. ACE vs ARB, Blood Clots, and Mifepristone
Episode 185: 185. USPSTF, Lupus, Diabetes Risk Factor, C. Diff
Episode 184: 184. Question and Answer From the Last Two Podcast
Episode 183: 183. PART 2 DYSH Out Information on DYSlipidemia, an Evidence Based Approach
Episode 182: 182. PART 1 DYSH Out Information on DYSlipidemia, an Evidence Based Approach
Episode 147: Weekly Medical Update 181
Episode 146: Weekly Medical Update 180 (I'm Back)
Weekly Medical Update 179
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174. Gestational Diabetes Screening, DOAC for Valvular Afib, COVID19, Semaglutide
173. Uterine Fibroid Symptoms, HPV Vaccine, Copper IUD, Colchicine
172. Top Articles of 2020 PART 2
Top Published Articles of 2020 part 1
Episode 171: 171. Diabetes Drugs, Statins and Muscle Pain, Vitamin D and COVID, Acne and Food
170. Semaglutide, NEW Gonorrhea Guidelines, Cost of Diabetic Drugs, Mask and Children
169. COVID19, Combined Oral Contraception and DVT, Colon Capsule Endoscopy
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