‘Ten Commandments’ of the EHRA Guide for the Use of NOACs in AF

Non-vitamin K antagonist oral anticoagulants (NOACs) are an alternative for vitamin K antagonists (VKAs) to prevent stroke in patients with atrial fibrillation (AF), and have emerged as the preferred choice, particularly in patients newly started on anticoagulation. Both physicians and patients are becoming more accustomed to the use of these drugs in clinical practice. However, many unresolved questions on how to optimally use these agents in specific clinical situations remain. In 2013, the first “EHRA Practical Guide” was published to provide practical guidance for situations; an update was published in 2015. Below are 10 important take-aways from the 2018 EHRA NOAC Practical Guide:NOACs can generally be used in patients withvalvular heart disease except patients with mechanical heart valves or rheumatic mitral stenosis.TheEHRA NOAC card is recommended to be distributed to patients on NOACs at initiation and during follow-up.Proper education and patient-tailored approaches (e.g. pill-box; calendar; electronic reminders) should be used toensure optimal adherence to the prescribed NOAC regimen.Whenever possible, the tested standard dose of NOACs should be used to provide optimal benefit for the patient.Dose reduction of NOACs is primarily guided by the dose reduction criteria used in the large phase III trials.Check for possibledrug –drug interactions in every patient (started) on a NOAC. Explore alternative drugs (NOACs and others) in case of relevant inte...
Source: European Heart Journal - Category: Cardiology Source Type: research

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Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
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Source: SafetyLit - Category: International Medicine & Public Health Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news
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Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Development & Aid Gender Global Headlines Health Human Rights Humanitarian Emergencies IPS UN: Inside the Glasshouse Peace TerraViva United Nations UN at 75 Source Type: news
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Source: CNN.com - Health - Category: Consumer Health News Source Type: news
Authors: Ashour A, Al-Smadi A, Tawalbeh L, Alshraifeen A, Al-Rawashdeh S, Gharaibeh B Abstract BACKGROUND: The number of coronary heart disease (CHD) patients treated with percutaneous coronary intervention (PCI) has increased. The illness perception (IP) of PCI recipients needs to be evaluated. Yet, little is known whether patients' IP predicts perceived learning needs among patients treated with PCI. OBJECTIVE: The aim of this study was to assess patients' IP and to examine its influence on perceived learning needs post PCI. METHODS: A cross-sectional design was used. A convenience sample of 208 patients ...
Source: Dimensions in Critical Care Nursing - Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research
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Source: The Lancet Diabetes and Endocrinology - Category: Endocrinology Source Type: research
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Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Asia-Pacific Development & Aid Economy & Trade Education Financial Crisis Headlines Health Human Rights Humanitarian Emergencies Labour Poverty & SDGs TerraViva United Nations Source Type: news
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Source: Medscape Today Headlines - Category: Consumer Health News Tags: Diabetes & Endocrinology Journal Article Source Type: news
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Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Disability Physical;   Disabilities Multiple;   Disability Hearing;   Disability, Vision;   Disability, Intellectual Intervention:   Other: 'Attitudes towards people with disability Scale' Sponsors:   University of Extremadura;   University of Cadiz Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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