Articles tagged "atrial fibrillation"

Extended cardiac monitoring is indicated for evaluation of cryptogenic strokes in elderly patients

by Joseph Esherick, M.D., FAAFP, FHM

Extended cardiac rhythm monitoring, repeated three times in 6 months, significantly increased detection of paroxysmal atrial fibrillation in elderly patients with cryptogenic strokes.

How to Manage Patients with Atrial Fibrillation and Prior Intracranial Hemorrhage

by Joseph Esherick, M.D., FAAFP, FHM

Patients with AF and prior ICH should undergo warfarin anticoagulation if they have valvular AF or non-valvular AF and a CHADS2-VASc score of 6 or more. On the other hand, patients with AF, diabetes and vascular disease but have a CHADS2-VASc score of 5 or less should probably have no antithrombotic therapy due to a high risk of recurrent ICH.

Direct-Acting Oral Anticoagulants Have a Lower Mortality than Warfarin for Nonvalvular Afib

by Joseph Esherick, M.D., FAAFP, FHM

In patients with nonvalvular atrial fibrillation, Direct-acting oral anticoagulant therapy was associated with significant declines in all-cause mortality and vascular mortality (P<0.0001 for each). In addition, there was a striking decrease in bleeding mortality (relative risk, 0.54; P<0.0001), which was mainly due to a reduction in intracranial bleeding (RR, 0.42; P<0.00001).

Is prolonged monitoring for atrial fibrillation indicated after a cryptogenic stroke?

by Joseph Esherick, M.D., FAAFP, FHM

Up to 30% of ischemic strokes are cryptogenic strokes. Two studies suggest that paroxysmal atrial fibrillation may be the underlying etiology in some of these cryptogenic strokes.