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.
148. Lipids, Cholesterol, Hyperlipidemia--- NEW GUIDELINES!
147. BONUS! BIG10 and Return To Football
146. Fluoroquinolone and Aortic disease, HPV Vaccine, Orthostatic Hypotension
145. Rosiglitazone, Dr. Mandrola, Ethics committee, GlaxoSmithKline, and the mafia
144. COVID, BIG10 FOOTBALL
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142. Covid, Appendicitis, COPD, Vitamin D
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140. #Medbikini, Is vascular surgery unprofessional on social media??
139. COVID19, Mask, Kids, and More Terrible Studies
138. Autism Screening, Tobacco-Dependent Treatment, HIV Treatment, Apixaban vs Enoxaparin
137. Antibiotics in Children, TSH, Hip Osteoarthritis, Mammograms
136. Elderly Statins, Alcohol Dependence in PCP, Cancer Screening,
134. COVID19, Dexamethasone, Chlorthalidone vs Hydrochlorothiazide
133. Effectiveness of Adenotonsillectomy, FDA and albuterol, Anti-Coag and hemodialysis, Tanning and Money
132. COVID, Hydroxychloroquine, Afib Ablation, Influenza Vaccine Notification
131. Prostate, COVID, Women Pay Gap
130. Antibiotics, BIOTOK and Knee Osteoarthritis, and Bempedoic Acid
129. Chronic Kidney Disease, Cholesterol LDL, Urinary Antigen Testing, Gout, Pharmaceutical Industry,
128. COVID, Coronavirus, When will it end? The Answer...
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