Atrial Fibrillation - The Stroke Network of Southeastern Ontario

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Case Example • A 75 year-old lady has had gradually-worsening fatigue and intermittent palpitations. • Past history of Type 2 DM, hypertension and a nondisabling stroke • Meds: ASA, perindopril, HCTZ, metformin • Physical exam: Pulse 100/min. irregular, BP 140/90 • Lab: eGFR 90 ml./min. • CHADS2 = • HAS BLED =
Case Example • A 75 year-old lady has had gradually-worsening fatigue and intermittent palpitations. • Past history of Type 2 DM, hypertension and a nondisabling stroke • Meds: ASA, perindopril, HCTZ, metformin • Physical exam: Pulse 100/min. irregular, BP 140/90 • Lab: eGFR 90 ml./min. • CHADS2 = Hypertension 1 + Elderly 1 + DM 1 + Stroke 2 = 5 • HAS BLED= Hypertension 1 + Elderly 1 + Stroke 1 = 3
Page 1 and 2: Which Drugs to Use Dr Curry Grant S
Page 3 and 4: Objectives • Review importance of
Page 5 and 6: Importance of Atrial Fibrillation
Page 7 and 8: Assessing the Risk of Stroke CHADS2
Page 9 and 10: HAS BLED Risk Factors Risk of Bleed
Page 11 and 12: Therapies to Prevent Stroke • Ant
Page 13 and 14: Bleeding on Warfarin ICES • In pa
Page 17 and 18: Apixaban, Dabigatran and Rivaroxaba
Page 19 and 20: Clinical Trials Drug Dabigatran Api
Page 21 and 22: What your patients need to know abo
Page 23: When should warfarin still be used
Page 27 and 28: Resources • Decision Aid by Steph
Page 29: Ischemic Stroke % /year Appendix: T

Atrial Fibrillation - The Stroke Network of Southeastern Ontario

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