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Specialty: Internal Medicine
Condition: Atrial Fibrillation

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Total 509 results found since Jan 2013.

Frequency of cardioversions as an additional risk factor for stroke in atrial fibrillation - the FinCV-4 study
CONCLUSIONS: Frequency of CVs for symptomatic AF episodes provides additional information on stroke risk in AF patients with CHA2DS2-VASc score 1.Key messagesThis retrospective study offers a unique opportunity to observe the natural course of AF patients with infrequent episodes of clinical arrhythmia when they were not using OAC (before introduction of CHA2DS2-VASc score).Stroke or systemic embolism rate was very low (0.08 per 100 patient-years) in patients with one CHA2DS2-VASc point who visited the emergency room for cardioversion less than once a year.Frequency of cardioversions can be used for additional risk stratif...
Source: Annals of Medicine - May 20, 2022 Category: Internal Medicine Authors: Samuli Jaakkola Tuomas O Kiviniemi Jussi Jaakkola Jussi-Pekka Pouru Ilpo Nuotio Tuija Vasankari Juha E K Hartikainen K E Juhani Airaksinen Source Type: research

Low serum albumin: A neglected predictor in patients with cardiovascular disease
Eur J Intern Med. 2022 May 7:S0953-6205(22)00181-9. doi: 10.1016/j.ejim.2022.05.004. Online ahead of print.ABSTRACTAlbumin, the most abundant circulating protein in blood, is an essential protein which binds and transports various drugs and substances, maintains the oncotic pressure of blood and influences the physiological function of the circulatory system. Albumin also has anti-inflammatory, antioxidant, and antithrombotic properties. Evidence supports albumin's role as a strong predictor of cardiovascular (CV) risk in several patient groups. Its protective role extends to those with coronary artery disease, heart failu...
Source: European Journal of Internal Medicine - May 10, 2022 Category: Internal Medicine Authors: Antonis A Manolis Theodora A Manolis Helen Melita Dimitri P Mikhailidis Antonis S Manolis Source Type: research

Comparing atrial fibrillation guidelines: Focus on stroke prevention, bleeding risk assessment and oral anticoagulant recommendations
Eur J Intern Med. 2022 May 4:S0953-6205(22)00166-2. doi: 10.1016/j.ejim.2022.04.023. Online ahead of print.ABSTRACTClinical practice in atrial fibrillation (AF) patient management is constantly evolving. In the past 3 years, various new AF guidelines or focused updates have been published, given this rapidly evolving field. In 2019, the American College of Cardiology/American Heart Association published a focused update of the 2014 guidelines. In 2020, both the European Society of Cardiology and the Canadian Cardiovascular Society released their new guidelines. Finally, the most recent guidelines were those published in 20...
Source: European Journal of Internal Medicine - May 7, 2022 Category: Internal Medicine Authors: Jacopo Francesco Imberti Davide Antonio Mei Marco Vitolo Niccol ò Bonini Marco Proietti Tatjana Potpara Gregory Y H Lip Giuseppe Boriani Source Type: research

The Atrial Fibrillation Better Care (ABC) Pathway and Clinical Outcomes in Patients with Atrial Fibrillation: the Prospective Murcia AF Project Phase II Cohort
ConclusionsIn this real-world prospective cohort of AF patients starting VKA therapy, adherence to the ABC pathway management at baseline significantly reduced the risk of NCOs, all-cause mortality, and cardiovascular death at 2 years.
Source: Journal of General Internal Medicine - April 11, 2022 Category: Internal Medicine Source Type: research

Impact of thyroid disease in patients with atrial fibrillation: Analysis from the JoFib registry
CONCLUSION: Despite having similar stroke and bleeding risks, patients with thyroid disease demonstrated meaningful differences in their baseline characteristics. Prospective studies are required to assess the influence of thyroid hormone fluctuations on the progression of AF.PMID:35145683 | PMC:PMC8818533 | DOI:10.1016/j.amsu.2022.103325
Source: Annals of Medicine - February 11, 2022 Category: Internal Medicine Authors: Hanna Al-Makhamreh Abdallah Al-Ani Dana Alkhulaifat Liza Shaban Neveen Salah Rusul Almarayaty Yazan Al-Huneidy Ayman Hammoudeh Source Type: research

Association of ischemic stroke onset time with presenting severity, acute progression, and long-term outcome: A cohort study
ConclusionsNight-onset strokes, compared with day-onset strokes, are associated with higher presenting neurologic severity, more frequent END, and worse 3-month functional outcome. These findings suggest that circadian time of onset is an important additional variable for inclusion in epidemiologic natural history studies and in treatment trials of neuroprotective and reperfusion agents for acute ischemic stroke.
Source: PLoS Medicine - February 4, 2022 Category: Internal Medicine Authors: Wi-Sun Ryu Source Type: research

Clinical characteristics and prognostic factors of atrial fibrillation at a tertiary center of Pakistan - From a South-Asian perspective - A cross-sectional study
CONCLUSION: There was higher prevalence of chronic co-morbid conditions in the studied population leading to a higher CHA2DS2VASC Score. Sepsis and stroke were independently associated with higher in-hospital mortality.PMID:35003722 | PMC:PMC8718836 | DOI:10.1016/j.amsu.2021.103128
Source: Annals of Medicine - January 10, 2022 Category: Internal Medicine Authors: Intisar Ahmed Aiysha Nasir Pirbhat Shams Hunaina Shahab Muhammad Hassan Faryal Subhani Ghufran Adnan Awais Farhad Aamir Hameed Khan Yawer Saeed Source Type: research

Patient preferences for mitral valve regurgitation treatment: a discrete choice experiment
CONCLUSION: This study of US adults with DMR provides quantitative measures of risk tolerance for tradeoffs related to repair by a beating heart approach relative to conventional open-heart surgery (standard of care). These results may inform DMR treatment choices from regulatory agencies, payers, clinicians, and patients considering a beating heart repair or treatments with similar attributes as potential new alternatives to conventional surgery.PMID:34981982 | DOI:10.1080/00325481.2021.2020571
Source: Postgraduate Medicine - January 4, 2022 Category: Internal Medicine Authors: Ellen Janssen Eric L Keuffel Barry Liden Alissa Hanna John A Rizzo Source Type: research