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Long-term oral anticoagulation for atrial fibrillation in low and middle income countries
Discussions regarding oral anticoagulation (OAC) use in low and middle income countries (LMICs) have historicallybeendominated by severallong-held beliefs. The first is that the quality of vitamin K antagonist (VKA) based anticoagulation is poor in these countries. The veracity of this assumption is supported by a large number of studies documenting both lower prescription of OACs, and a lower proportion of international normalised ratio (INR) values in the therapeutic range.1The second is that a large proportion of patients receiving OAC in LMICs have atrial fibrillation (AF) related to valvular heart disease, and rheumat...
Source: Indian Heart J - April 18, 2021 Category: Cardiology Authors: Venkatakrishnan Ramakumar Alexander P Benz Ganesan Karthikeyan Source Type: research

Disappearing left atrial appendage clot —the need for a more meticulous search
AbstractLeft atrial clots are occasionally seen in patients with long-standing atrial fibrillation who come for valve surgery. Once identified on echocardiogram, intraoperative identification and retrieval of the clot are essential in order to prevent the possibly devastating complication of embolism and stroke.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - March 19, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

One-year clinical outcome of patients with nonvalvular atrial fibrillation: Insights from KERALA-AF registry
CONCLUSIONS: Despite high risk profile of patients in this registry, use of OAC was suboptimal, whereas antiplatelets were used in nearly half of patients. A relatively high rate of annual mortality and hospitalization was observed in patients with NVAF in Kerala AF Registry.PMID:33714410 | DOI:10.1016/j.ihj.2020.11.152
Source: Indian Heart J - March 14, 2021 Category: Cardiology Authors: C G Bahuleyan Narayanan Namboodiri A Jabir Gregory Y H Lip George Koshy A Babu M Shifas Kartik Viswanathan S Geevar Zachariah K Venugopal Eapen Punnose K U Natarajan G K Mini Johny Joseph Ashokan Nambiar C P B Jayagopal P P Mohanan Raju George Govindan Un Source Type: research

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