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The Guideline-Policy Gap in Direct-Acting Oral Anticoagulants Usage in Atrial Fibrillation: Evidence, Practice, and Public Policy Considerations
Publication date: November 2018Source: Canadian Journal of Cardiology, Volume 34, Issue 11Author(s): Douglas Wan, Jeff S. Healey, Chris S. SimpsonAbstractAtrial fibrillation has a high disease burden—both in prevalence and associated consequences. Despite anticoagulation being an effective treatment in atrial fibrillation, stroke prevention is slow to reflect evidence-based practice. Real-world data reveal a substantial portion of patients who would benefit from anticoagulation, yet do not receive it adequately or at all. A large part of this suboptimal treatment is due to the underutilization of direct oral anticoagulan...
Source: Canadian Journal of Cardiology - November 6, 2018 Category: Cardiology Source Type: research

New Directions in Cardiac Arrhythmia Management: Present Challenges and Future Solutions
Publication date: December 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 12, Supplement Author(s): Stanley Nattel , Jason Andrade , Laurent Macle , Lena Rivard , Katia Dyrda , Blandine Mondesert , Paul Khairy Cardiac arrhythmias are a major contributor to population morbidity and mortality. Enormous advances in arrhythmia management have occurred over the 60 years since the founding of the Montreal Heart Institute, but important challenges remain. The purpose of this article is to identify the areas of cardiac arrhythmia therapy that need improvement and to discuss the evolving approaches that promise solu...
Source: Canadian Journal of Cardiology - November 26, 2014 Category: Cardiology Source Type: research

An Integrated Approach for Vascular Health: A Call to Action
Publication date: Available online 6 November 2014 Source:Canadian Journal of Cardiology Author(s): Blair J. O'Neill , Shadab N. Rana , Vincent Bowman Vascular diseases such as stroke, myocardial infarction, most causes of heart failure, dementia, peripheral arterial disease, certain kidney, and many lung and eye conditions are a result of disorders in the blood vessels (large and small) throughout the entire human body. Vascular diseases are the leading cause of preventable death and disability in Canada 1 . Most vascular diseases share common risk factors (high blood pressure, diabetes, dyslipidemia and obesity), which...
Source: Canadian Journal of Cardiology - November 7, 2014 Category: Cardiology Source Type: research