atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
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Essentials in Primary Care Conference<br />
Wednesday, July 31, 2013<br />
Educational Objectives<br />
• Underst<strong>and</strong> the 3 important clinical strategies to<br />
consider when treating the patient with Atrial<br />
Fibrillation<br />
• Be familiar with the evidence for rate vs rhythm<br />
control in patients with Atrial Fibrillation<br />
• Underst<strong>and</strong> the CHADS 2 <strong>and</strong> CHA 2 DS 2 -VASc<br />
score to assess <strong>stroke</strong> risk in patients with <strong>atrial</strong><br />
<strong>fibrillation</strong> (AF)<br />
• Recognize the benefits versus risks of<br />
antithrombotic therapy for <strong>stroke</strong> risk reduction in<br />
AF patients<br />
• Be familiar with the new oral anticoagulants <strong>and</strong> the<br />
evidence-based studies that allowed them to be<br />
FDA approved<br />
Atrial Fibrillation:<br />
The Most Common Cardiac Arrhythmia<br />
• The prevalence of AF roughly doubles with<br />
each decade of age:<br />
– 0.5% at age 50–59 years<br />
– 9.0% at age 80–90 years<br />
• Present in 3–6% of acute hospital admissions<br />
• Prevalence of 4.7% of people aged 65 years or<br />
over in general practice<br />
• More common in men (regardless of age)<br />
• Greater risk in women<br />
• More common in whites than blacks, obese,<br />
those with alcohol use, metabolic syndrome<br />
Roger VL. et al. Circulation 2011; 123:e18—e209.<br />
Jan Basile, MD<br />
Atrial Fibrillation & Stroke Prevention
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