Atrial fibrillation and stroke: a practical guide
| Autor: | Jonathan G. Best, Robert G. Bell, David J. Werring, Arvind Chandratheva, Mohammed Haque |
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| Rok vydání: | 2019 |
| Předmět: |
Risk
medicine.medical_specialty Intracranial haemorrhage Administration Oral Management of atrial fibrillation 030204 cardiovascular system & hematology Stroke care 03 medical and health sciences 0302 clinical medicine Atrial Fibrillation Ischaemic stroke Humans Medicine cardiovascular diseases Intensive care medicine Stroke Cardioembolic stroke business.industry Anticoagulants Atrial fibrillation General Medicine medicine.disease Neurology (clinical) business Intracranial Hemorrhages 030217 neurology & neurosurgery Major bleeding |
| Zdroj: | Practical Neurology. 19:208-224 |
| ISSN: | 1474-7766 1474-7758 |
| DOI: | 10.1136/practneurol-2018-002089 |
| Popis: | Neurologists and stroke physicians will be familiar with atrial fibrillation as a major cause of ischaemic stroke, and the role of anticoagulation in preventing cardioembolic stroke. However, making decisions about anticoagulation for individual patients remains a difficult area of clinical practice, balancing the serious risk of ischaemic stroke against that of major bleeding, particularly intracranial haemorrhage. Atrial fibrillation management requires interdisciplinary collaboration with colleagues in cardiology and haematology. Recent advances, especially the now-widespread availability of direct oral anticoagulants, have brought opportunities to improve stroke care while posing new challenges. This article gives an overview of the contemporary diagnosis and management of atrial fibrillation, and the associated evidence base. Where there is uncertainty, we describe our own approach to these areas, while highlighting ongoing research that will likely guide future practice. |
| Databáze: | OpenAIRE |
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