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Patients who self-monitor or self-manage can improve the quality of their oral anticoagulation therapy
Commentary on: Heneghan CJ, Garcia-Alamino JM, Spencer EA, et al.. Self-monitoring and self-management of oral anticoagulation. Cochrane Database Syst Rev 2016;7:CD003839. Implications for practice and research For suitable patients self-monitoring or self-managing enhances the quality of oral anticoagulation therapy. Self-monitoring and self-managing patients experience greater time in therapeutic range with the associated decrease in thromboembolic events. Future research should focus on establishing the factors affecting the uptake of self-monitoring and self-managing of oral anticoagulation. Context There are 950 ...
Source: Evidence-Based Nursing - December 13, 2016 Category: Nursing Authors: Kennedy, M. Tags: Immunology (including allergy), Drugs: cardiovascular system, Stroke, Internet, Diabetes, Arrhythmias, Metabolic disorders Community and primary care nursing Source Type: research

Fatigue, dyspnea, and intermittent symptoms are associated with treatment-seeking delay for symptoms of atrial fibrillation before diagnosis
Conclusion: Experiencing fatigue, dyspnea and intermittent symptoms produced symptom representations and emotional and behavioral responses associated with treatment-seeking delay. There is a critical need to develop and test educational interventions to increase awareness of the spectrum and characteristics of AF symptoms and appropriate treatment-seeking behaviors.
Source: European Journal of Cardiovascular Nursing - September 25, 2016 Category: Nursing Authors: McCabe, P. J., Rhudy, L. M., Chamberlain, A. M., DeVon, H. A. Tags: Original Articles Source Type: research

Vegetarian Diet: A Prescription for High Blood Pressure? A Systematic Review of the Literature
Hypertension is one of the most costly and poorly treated medical conditions in the United States and around the world. Consequences of hypertension include morbidity and mortality related to its long-term effects, which include stroke, myocardial infarction, renal failure, limb loss, aortic aneurysm, and atrial fibrillation, among many others. Although there is an armamentarium of medications to treat hypertension, we do little for prevention. In this review we examine the relationship between vegetarian and nonvegetarian diets and the prevalence of hypertension.
Source: The Journal for Nurse Practitioners - June 30, 2016 Category: Nursing Authors: Tanya M. Garbett, Donald L. Garbett, AnnMarie Wendorf Tags: Feature Article Source Type: research

Atrial fibrillation is stronger risk factor for heart disease in women.
Authors: Abstract Atrial fibrillation is associated with an increased risk of stroke, and a growing body of literature suggests that women and men experience risk factors differently. Smoking and diabetes are associated with greater risk of coronary heart disease in women than in men, for example, while diabetes is associated with a greater risk of stroke in women than in men. PMID: 27029982 [PubMed - in process]
Source: Nursing Older People - March 30, 2016 Category: Nursing Tags: Nurs Older People Source Type: research

Choice of Health Options In prevention of Cardiovascular Events for people with Atrial Fibrillation (CHOICE-AF): A pilot study
Conclusions: Participation in the CHOICE-AF pilot study did not improve BMI or waist circumference: however, it was associated with significant improvement in reported symptom severity. Further research is required to determine the most appropriate model of care for addressing risk factor management for people with AF.
Source: European Journal of Cardiovascular Nursing - January 20, 2016 Category: Nursing Authors: Lowres, N., Redfern, J., Freedman, S. B., Orchard, J., Bennett, A. A., Briffa, T., Bauman, A., Neubeck, L. Tags: Original Articles Source Type: research

Can we improve the early detection of atrial fibrillation in a stroke unit? Detection rate of a monitor with integrated detection software
Conclusion: The monitor with AF-RS demonstrated a higher detection rate for AF than standard ECG monitoring in acute stroke patients in a SU.
Source: European Journal of Cardiovascular Nursing - January 20, 2016 Category: Nursing Authors: Arevalo-Manso, J. J., Martinez-Sanchez, P., Fuentes, B., Ruiz-Ares, G., Sanz-Cuesta, B. E., Prefasi, D., Juarez-Martin, B., Navarro-Parias, A., Parrilla-Novo, P., Diez-Tejedor, E. Tags: Original Articles Source Type: research

Symptom Representation and Treatment-Seeking Prior to Diagnosis of Atrial Fibrillation
Early treatment-seeking for symptoms of atrial fibrillation (AF) is critical to avert AF-related stroke and heart failure, but early treatment is hindered if symptoms are not accurately interpreted. The purpose of this research was to describe symptom representation and treatment-seeking responses prior to diagnosis of AF. For this descriptive study, 150 participants were surveyed to describe the type and temporality of symptoms, perceptions regarding the cause, seriousness, controllability of symptoms, and responses to symptoms prior to diagnosis. Participants’ mean age was 66.5 years, and 51% were female. Participa...
Source: Western Journal of Nursing Research - December 30, 2015 Category: Nursing Authors: McCabe, P. J., Chamberlain, A. M., Rhudy, L., DeVon, H. A. Tags: Research Reports Source Type: research

Nonvitamin K antagonist oral anticoagulants in everyday practice: Stroke prevention in atrial fibrillation and treatment of venous thromboembolism
ConclusionsAll four NOACs are equivalent to or better than warfarin for the treatment of VTE and stroke prevention in AF, and may reduce the risk of bleeding complications, particularly intracranial bleeding. Implications for practiceNOACs may benefit some patients by avoiding the numerous food or drug interactions and frequent laboratory monitoring associated with warfarin. Adherence to proper dosing is critical for NOAC efficacy and safety.
Source: Journal of the American Academy of Nurse Practitioners - December 17, 2015 Category: Nursing Authors: Barbara A. Bentz Tags: REVIEW Source Type: research

In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Oral Anticoagulants and Atrial Fibrillation: An Update for the Clinical Nurse.
Authors: Spivak IE Abstract Anticoagulation is an important strategy for the prevention of stroke associated with atrial fibrillation. Development of new oral agents has created a need to educate nurses to administer these medications and provide patient education. PMID: 26306367 [PubMed - indexed for MEDLINE]
Source: Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses - November 30, 2015 Category: Nursing Tags: Medsurg Nurs Source Type: research

NICE approves new oral anti-coagulant for atrial fibrillation
The drug edoxaban has been given the official seal of approval for NHS use in preventing stroke and blood clots in patients with a common heart disorder.
Source: Nursing Times Breaking News - September 24, 2015 Category: Nursing Source Type: news

The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up
Conclusion: Patients had a low risk of adverse events 12 months after discharge but substantial continuing health care utilization was observed. Complete assessment by health care professionals prior to discharge may help mitigate representations.
Source: European Journal of Cardiovascular Nursing - September 17, 2015 Category: Nursing Authors: Lee, G., Dix, S., Mitra, B., Coleridge, J., Cameron, P. Tags: Original Articles Source Type: research

Percutaneous Closure of the Left Atrial Appendage for Stroke Prevention in Atrial Fibrillation: An Alternative to Lifelong Anticoagulation?
Atrial fibrillation is an important risk factor for thromboembolic stroke and it significantly increases the risk of stroke. The left atrial appendage (LAA) is the most common site of thrombus formation in nonvalvular atrial fibrillation, and the recent applications of percutaneous LAA closure devices offer a promising alternative for patients who are unable to tolerate lifelong anticoagulation. Critical care nurses who understand the procedures and are familiar with the various devices used for LAA closure will be well prepared to provide optimum care and appropriate education for these patients.
Source: Critical Care Nursing Quarterly - September 11, 2015 Category: Nursing Tags: Original Articles Source Type: research

Heart Failure and Atrial Fibrillation
Atrial fibrillation is commonly experienced by patients with heart failure, and as the heart failure progresses and worsens, the more likely the patient is to develop atrial fibrillation. Several factors play into this, including common risk factors, such as advanced age, hypertension, and ischemic or valvular heart disease. Treatment is aimed at anticoagulation, to prevent thromboembolic stroke, and rate control to prevent further hemodynamic compromise. Rhythm control may be beneficial for many patients and this can be accomplished through the use of antiarrhythmic medications, cardioversion, and/or ablation.
Source: Critical Care Nursing Clinics of North America - August 26, 2015 Category: Nursing Authors: Brenda McCulloch Source Type: research

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