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Condition: Atrial Fibrillation
Education: Education

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Total 397 results found since Jan 2013.

Environmental and lifestyle risk factors for early-onset dementia: a systematic review
CONCLUSIONS: The literature on environmental risk factors for EOD has been considerably growing in recent years. Overall, it supports an association between some environmental and lifestyle factors with disease risk. However, additional high-quality research is required to confirm these relations and its causal nature (www.actabiomedica.it).PMID:36533768 | PMC:PMC9828922 | DOI:10.23750/abm.v93i6.13279
Source: Acta Bio-Medica : Atenei Parmensis - December 19, 2022 Category: General Medicine Authors: Matteo Bosi Marcella Malavolti Caterina Garuti Manuela Tondelli Cristina Marchesi Marco Vinceti Tommaso Filippini Source Type: research

Patient Education Strategies to Improve Risk of Stroke in Patients with Atrial Fibrillation
We describe the most recent evidence-based treatments to reduce stroke risk and outline challenges that exist in empowering patients to be active participants in decision-making. The shared decision-making (SDM) panorama is highlighted due to its benefits, including increased patient participation in decision-making, patient and clinician satisfaction, and improved outcomes.Recent FindingsOral anticoagulation remains the preferred therapy for stroke prevention in AF. Several barriers to stroke risk reduction persist, including both upstream and downstream barriers on the provider and patient front. Appropriate patient educ...
Source: Current Cardiovascular Risk Reports - December 2, 2022 Category: Cardiology Source Type: research

Mr. M
Dr. Migliore I step off the subway, up the elevator, and up several flights of stairs. There’s a homeless man there who always uses the last stair of the lower staircase as a tray for his food. And by tray, I mean he sets his half-eaten rice burrito directly onto the step and picks around at it while I imagine the guacamole is mixing with Hep B and C. diff and MRSA. He looks up at me, I promise myself for the 100th time I’m going to start carrying cash or Kind bars or something; I give him my best sheepish face, and emerge at street level. I walk toward my hospital and pass a gentleman who sits on a ledge next to the ...
Source: The Hospitalist - December 1, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Essay Source Type: research

Health ‐related quality of life impacts upon 5‐year survival after coronary artery bypass surgery
ConclusionsPre-CABG HRQoL scores may provide clinically relevant prognostic information beyond traditional risk models and prove useful for patient-provider shared decision-making and enhancing pre-CABG informed consent.
Source: Journal of Cardiac Surgery - November 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Muath Bishawi, Brack Hattler, G. Hossein Almassi, Jacquelyn A. Quin, Frederick L. Grover, Joseph F. Collins, Ramin Ebrahimi, Daniel H. Wolbrom, A. Laurie Shroyer, Veterans Affairs Randomized On/Off Bypass Follow ‐up Study (ROOBY‐FS) Group Tags: ORIGINAL ARTICLE Source Type: research

Cardiovascular-related conditions and risk factors in primary care for deprived communities before and during the COVID-19 pandemic: an observational study in Northern England
Conclusion Recorded CVD-related risk factors and conditions remained comparable before and during COVID-19. These are higher in the Deep End than in England and similar or lower than the non-Deep End, with a higher optimal statin prescribing rate. However, it was not possible to control for age and sex. More work is needed to estimate the consequences of the pandemic on disadvantaged communities and to compare whether the findings are replicated in other areas of deprivation.
Source: BMJ Open - November 22, 2022 Category: General Medicine Authors: Fu, Y., Price, C., Haining, S., Gaffney, B., Julien, D., Whitty, P., Newton, J. L. Tags: Open access, Public health, COVID-19 Source Type: research

Clinical course and risk factors for sleep disturbance in patients with ischemic stroke
ConclusionThe prevalence rates of sleep disturbance before and during the acute and chronic stroke periods were 34.3%, 37.4%, and 29.7%, respectively. The incidence of stroke-related insomnia was 15.6%. Patients with insomnia before stroke may recover after the stroke. Atrial fibrillation, hypertension, and mood disturbance were associated with a higher risk of sleep disturbance in the acute stroke period, whereas low education and mood disturbance were associated with insomnia in the chronic stroke period.
Source: PLoS One - November 8, 2022 Category: Biomedical Science Authors: Hui-Ju Tsai Source Type: research

Oral anticoagulants: a systematic overview of reviews on efficacy and safety, genotyping, self-monitoring, and stakeholder experiences
ConclusionsFor stroke prevention in AF, direct OACs seem to be more effective and safer than usual care, and apixaban (5  mg twice daily) had the best profile. For VTE, there was no strong evidence that direct OACs were better than usual care. Education and pharmacist management could improve coagulation control. Both clinicians and patients rated efficacy and safety as the most important factors in managing AF and V TE.Systematic review registrationPROSPERO CRD42017084263 —one deviation; efficacy and safety were from one review.
Source: Systematic Reviews - October 28, 2022 Category: International Medicine & Public Health Source Type: research

Starting anticoagulation for atrial fibrillation in the emergency department safely
Atrial fibrillation (AF) is a common morbidity, which is increasing in prevalence.1 AF predisposes patients to stroke while anticoagulation therapy reduces the stroke risk in this population. The proportion of patients with AF receiving oral anticoagulation is one of the pan-Canadian quality indicators set by the Canadian Cardiovascular Society.2 Our review of local ED practice identified that only 17% of patients with AF eligible for anticoagulation were being prescribed an anticoagulant.3 We implemented a simple ED pathway for initiating anticoagulation in patients with AF in four EDs. The pathway was available for emerg...
Source: Emergency Medicine Journal - October 21, 2022 Category: Emergency Medicine Authors: Kirwan, C., Ramsden, S., Carter, J., Tong, X. C., Huang, J., Clayton, N., McArthur, R., Kibria, A., de Wit, K. Tags: Research letter Source Type: research

Effects of a Pharmacist-Led Educational Interventional Program on Electronic Monitoring-Assessed Adherence to Direct Oral Anticoagulants: A Randomized, Controlled Trial in Patients with Nonvalvular Atrial Fibrillation
In this study, the selection of DOACs was not randomized, and the lack of assessment of the association between adherence to DOACs and clinical outcomes was a limitation. Japan Registry of Clinical Trials (jRCT) indentifier: jRCTs031180142. (Clin Ther. 2022;44:XXX-XXX) © 2022 Elsevier Inc.PMID:36244853 | DOI:10.1016/j.clinthera.2022.09.011
Source: Clinical Therapeutics - October 16, 2022 Category: Drugs & Pharmacology Authors: Tsuyoshi Shiga Toshimi Kimura Noritoshi Fukushima Yuji Yoshiyama Kazunori Iwade Fumiaki Mori Yoichi Ajiro Shoji Haruta Yuichiro Yamada Emi Sawada Nobuhisa Hagiwara SMAAP-AF Investigators Source Type: research