keyword
https://read.qxmd.com/read/38530599/how-well-do-ed-physician-practices-align-with-the-caep-acute-atrial-fibrillation-checklist-for-stroke-prevention-and-disposition
#1
JOURNAL ARTICLE
Samara Adler, Amanda M S Mattice, Debra Eagles, Krishan Yadav, Sean Hui, Althaf Azward, Nikesh Pandey, Ian Stiell
OBJECTIVES: Acute atrial fibrillation (AF)/flutter (AFL) is a common emergency department (ED) presentation. In 2021, an updated version of CAEP's Acute AF/AFL Best Practices Checklist was published, seeking to guide management. We assessed the alignment with and safety of application of the Checklist, regarding stroke prevention and disposition. METHODS: This health records review included adults presenting to two tertiary care academic EDs between January and August 2022 with a diagnosis of acute AF/AFL...
March 26, 2024: CJEM
https://read.qxmd.com/read/38478250/anticoagulation-control-among-patients-on-vitamin-k-antagonists-in-nine-countries-in-sub-saharan-africa
#2
JOURNAL ARTICLE
Julius Chacha Mwita, Joel Msafiri Francis, Chriselda Pillay, Okechukwu S Ogah, Dejuma Yadeta Goshu, Francis Agyekum, John Mukuka Musonda, Maduka Chiedozie James, Endale Tefera, Tsie Kabo, Keolebile Irene Ditlhabolo, Kagiso Ndlovu, Ayoola Yekeen Ayodele, Wigilya P Mkomanga, Pilly Chillo, Albertino Damasceno, Aba Ankomaba Folson, Anthony Oyekunle, Erius Tebuka, Fredrick Kalokola, Karen Forrest, Helena Dunn, Kamilu Karaye, Fina Lubaki Jean-Pierre, Chala Fekadu Oljira, Tamirat Assefa Tadesse, Tolulope Shogade Taiwo, Chibuike E Nwafor, Olufemi Omole, Raphael Anakwue, Karen Cohen
Vitamin K antagonists (VKA) is the primary anticoagulant in most settings of Sub-Saharan Africa. Understanding the quality of anticoagulation services in the continent is vital in optimising the intended benefits. This study assessed the quality of anticoagulation and associated factors among VKA-treated patients in nine SSA countries. We conducted a retrospective cohort study of randomly selected patients on anticoagulation from 20 clinics in Botswana, the Democratic Republic of Congo, Ethiopia, Gambia, Ghana, Mozambique, Nigeria, Tanzania, and South Africa...
March 13, 2024: Journal of Thrombosis and Thrombolysis
https://read.qxmd.com/read/38432203/sex-discrepancies-in-the-population-incidence-of-stroke-and-hemorrhage-related-to-atrial-fibrillation-or-flutter
#3
Mihir Khunte, Huanwen Chen, Marco Colasurdo, Seemant Chaturvedi, Ajay Malhotra, Dheeraj Gandhi
INTRODUCTION: Atrial fibrillation or flutter (AF) is a well-known risk factor for ischemic stroke. While female sex has been associated with higher stroke risk among AF patients, overall sex-specific real-world burdens of AF-related strokes and hemorrhages are unknown. METHODS: The 2016-2020 National Inpatient Sample was queried for hospitalizations, morbidity, and mortality due to AF-related ischemic strokes and bleeds. Patient demographic information, vascular risk factors, comorbidities, and stroke characteristics were extracted using ICD-10 codes...
March 2, 2024: Cerebrovascular Diseases
https://read.qxmd.com/read/38308884/anticoagulation-in-cancer-patients-with-atrial-fibrillation-and-grade-3-4-thrombocytopenia
#4
JOURNAL ARTICLE
Genady Drozdinsky, Noam Arad, Galia Spectre, Nir Livneh, Itamar Poran, Pia Raanani, Anna Falanga, Hugo Ten Cate, Anat Gafter-Gvili, Avi Leader
INTRODUCTION: Atrial fibrillation or flutter (AF) is prevalent in cancer patients. Many of these patients have an indication for anticoagulation (AC) but are also at risk for developing chemotherapy-induced thrombocytopenia. There are scarce data regarding management of AC and risk of bleeding and thrombosis in cancer patients with AF and thrombocytopenia. AIM: To assess anticoagulation management and incidence of bleeding and arterial thromboembolism (ATE) in cancer patients with AF and grade 3-4 thrombocytopenia (platelets <50 × 109 /L)...
January 23, 2024: Thrombosis Research
https://read.qxmd.com/read/38302192/incidence-and-patterns-of-atrial-fibrillation-after-catheter-ablation-of-typical-atrial-flutter-the-flutfib-study
#5
JOURNAL ARTICLE
Philipp Attanasio, Tabea Budde, Paul Kamieniarz, Verena Tscholl, Patrick Nagel, Sebastian Biewener, Abdul Parwani, Leif-Hendrik Boldt, Ulf Landmesser, Gerhard Hindricks, Martin Huemer
AIMS: In patients with atrial flutter (AFL), ablation of the cavotricuspid isthmus (CTI) is a highly effective procedure to prevent AFL recurrence, but atrial fibrillation (AF) may occur during follow-up. The presented FLUTFIB study was designed to identify the exact incidence, duration, timely occurrence, and associated symptoms of AF after CTI ablation using continuous cardiac monitoring via implantable loop recorders. METHODS AND RESULTS: One hundred patients with AFL without prior AF diagnosis were included after CTI ablation (mean age 69...
February 1, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38286500/modern-management-of-acute-atrial-fibrillation-and-atrial-flutter
#6
JOURNAL ARTICLE
Ian G Stiell, Debra Eagles
This clinical review is intended to assist emergency physicians manage patients who present to the emergency department (ED) with acute/recent-onset atrial fibrillation (AF) or flutter (AFL). This article is based primarily on the 2021 Canadian Association of Emergency Physicians (CAEP) Acute Atrial Fibrillation/Flutter Best Practices Checklist. We encourage readers to download the open access CAEP Checklist article (https://link.springer.com/article/10.1007/s43678-021-00167-y) and the free smartphone app (CAEP Atrial Fibrillation Guide)...
January 29, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38261026/renal-function-and-periprocedural-complications-in-patients-undergoing-left-atrial-catheter-ablation-a-comparison-between-uninterrupted-direct-oral-anticoagulants-and-phenprocoumon-administration
#7
JOURNAL ARTICLE
Nico Erhard, Fabian Bahlke, Lovis Spitzauer, Florian Englert, Miruna Popa, Felix Bourier, Tilko Reents, Carsten Lennerz, Hannah Kraft, Susanne Maurer, Alexander Tunsch-Martinez, Jan Syväri, Madeleine Tydecks, Marta Telishevska, Sarah Lengauer, Gabrielle Hessling, Isabel Deisenhofer, Marc Kottmaier
BACKGROUND: Data regarding uninterrupted oral anticoagulation in patients with chronic kidney disease (CKD) during catheter ablation for left atrial arrhythmias is limited. This study aimed to evaluate the safety and efficacy of periprocedural uninterrupted direct oral anticoagulants (DOAC) compared with uninterrupted phenprocoumon in patients with CKD undergoing left atrial catheter ablation. METHODS AND RESULTS: We conducted a retrospective single-center study of patients who underwent left atrial catheter ablation between 2016 and 2019 with underlying chronic kidney disease (glomerular filtration rate (GFR) between 15 and 45 ml/min)...
January 23, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38192356/the-risk-of-left-atrial-appendage-thrombus-in-patients-with-atrial-flutter-versus-atrial-fibrillation
#8
JOURNAL ARTICLE
Gassan Moady, Gal Rubinstein, Loai Mobarki, Alexander Shturman, Tsafrir Or, Shaul Atar
OBJECTIVE: Patients with atrial fibrillation (AF) are at increased risk of thromboembolic events originating mainly from left atrial appendage thrombus (LAAT). Patients with atrial flutter (AFL) are treated with anticoagulation based on the same criteria as patients with AF. However, whether patients with AFL have similar thromboembolic risk as AF is unclear. In the current study we aimed to estimate the prevalence of LAAT in patients with AFL undergoing trans-esophageal echocardiography (TEE)...
2024: Clinical Medicine Insights. Cardiology
https://read.qxmd.com/read/38053982/the-incidence-of-atrial-fibrillation-new-oral-anticoagulation-stroke-and-significant-bleeds-in-patients-receiving-a-new-dual-chamber-pacemaker
#9
JOURNAL ARTICLE
Elias Parkkari, Ville Vanhala, Ronja Lindberg, Juho Tynkkynen, Jussi Hernesniemi
BACKGROUND AND OBJECTIVES: Atrial fibrillation and flutter (AF/AFL) can be easily detected in patients who have a dual-chamber pacemaker (PM). This can result in a high detection rate of these arrhythmias especially if patients are monitored remotely and detection limits are sensitive. MATERIALS AND METHODS: A single-center retrospective registry analysis of 1,285 consecutive AF/AFL and anticoagulation naïve patients from a limited geographical area undergoing implantation of a new dual-chamber PM (between 2013 and 2019)...
December 2023: IJC Heart & Vasculature
https://read.qxmd.com/read/38043043/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation-a-report-of-the-american-college-of-cardiology-american-heart-association-joint%C3%A2-committee%C3%A2-on%C3%A2-clinical-practice-guidelines
#10
José A Joglar, Mina K Chung, Anastasia L Armbruster, Emelia J Benjamin, Janice Y Chyou, Edmond M Cronin, Anita Deswal, Lee L Eckhardt, Zachary D Goldberger, Rakesh Gopinathannair, Bulent Gorenek, Paul L Hess, Mark Hlatky, Gail Hogan, Chinwe Ibeh, Julia H Indik, Kazuhiko Kido, Fred Kusumoto, Mark S Link, Kathleen T Linta, Gregory M Marcus, Patrick M McCarthy, Nimesh Patel, Kristen K Patton, Marco V Perez, Jonathan P Piccini, Andrea M Russo, Prashanthan Sanders, Megan M Streur, Kevin L Thomas, Sabrina Times, James E Tisdale, Anne Marie Valente, David R Van Wagoner
AIM: The "2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Patients With Atrial Fibrillation" provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. METHODS: A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline...
January 2, 2024: Journal of the American College of Cardiology
https://read.qxmd.com/read/38033089/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation-a-report-of-the-american-college-of-cardiology-american-heart-association-joint-committee-on-clinical-practice-guidelines
#11
REVIEW
José A Joglar, Mina K Chung, Anastasia L Armbruster, Emelia J Benjamin, Janice Y Chyou, Edmond M Cronin, Anita Deswal, Lee L Eckhardt, Zachary D Goldberger, Rakesh Gopinathannair, Bulent Gorenek, Paul L Hess, Mark Hlatky, Gail Hogan, Chinwe Ibeh, Julia H Indik, Kazuhiko Kido, Fred Kusumoto, Mark S Link, Kathleen T Linta, Gregory M Marcus, Patrick M McCarthy, Nimesh Patel, Kristen K Patton, Marco V Perez, Jonathan P Piccini, Andrea M Russo, Prashanthan Sanders, Megan M Streur, Kevin L Thomas, Sabrina Times, James E Tisdale, Anne Marie Valente, David R Van Wagoner
AIM: The "2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation" provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. METHODS: A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline...
November 30, 2023: Circulation
https://read.qxmd.com/read/37977871/sinus-node-dysfunction-and-stroke-risk-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
Haoyu Dong, Hao Chen, Tesfaldet Habtemariam Hidru, Yunlong Xia, Xiaolei Yang
OBJECTIVES: The role of cardiac arrhythmia in ischaemic stroke is widely studied, but the size of the stroke risk in patients with sinus node dysfunction (SND) with and without atrial fibrillation (AF) is unclear. This systematic review and meta-analysis aimed to compare the risk of stroke and its associated factors in patients with SND with and without AF. DESIGN: A systematic review and meta-analysis was conducted based on the Grading of Recommendations, Assessment, Development and Evaluation approach...
November 17, 2023: BMJ Open
https://read.qxmd.com/read/37924143/utilization-and-short-term-outcomes-of-percutaneous-left-atrial-appendage-occlusion-in-patients-with-cancer
#13
JOURNAL ARTICLE
Yaqi Zhang, Zhuoran Yang, Muhammad U Almani, Raquel Soon-Shiong, Bolun Liu
BACKGROUND: Percutaneous left atrial appendage occlusion (LAAO) has been rapidly evolving since FDA's approval in 2015 and has become more of a same-day-discharge procedure. Cancer patient with atrial fibrillation/flutter (AF) population can benefit from the procedure but the in-hospital outcomes and readmission data were rarely studied. OBJECTIVES: We investigated the utilization, in-hospital and readmission outcomes in cancer patients with AF who underwent LAAO...
November 4, 2023: Cardio-Oncology
https://read.qxmd.com/read/37866913/a-case-of-dabigatran-related-nephropathy-complicated-by-tubulointerstitial-nephritis-in-a-patient-with-a-normal-renal-function-and-undiagnosed-iga-nephropathy
#14
JOURNAL ARTICLE
Yoichi Iwafuchi, Yumi Ito, Naofumi Imai, Yuko Oyama, Ichiei Narita
A 69-year-old woman was referred to our hospital because of an acute kidney injury with macroscopic hematuria. She had been taking dabigatran for atrial flutter for six years. Based on the typical histological findings of her kidney biopsy and her history of dabigatran use with prolonged activated partial thromboplastin time, she was diagnosed with dabigatran-related nephropathy complicated by tubulointerstitial nephritis with IgA nephropathy. After prednisolone therapy, the renal function improved. Direct-acting oral anticoagulants, including dabigatran, may cause anticoagulant-related nephropathy similar to warfarin, even in patients with a normal renal function...
October 20, 2023: Internal Medicine
https://read.qxmd.com/read/37809237/a-stroke-of-bad-luck-an-autobiographical-case-report
#15
Philip R Cohen
Strokes are a common cause of death. Cardiovascular disease, including atrial fibrillation and atrial flutter, is a frequent cause of ischemic strokes. A 64-year-old man developed isolated dysarthria without any other neurologic manifestations as the presentation of an ischemic stroke resulting from occlusion to the middle cerebral artery and affecting the cortex supplied by the artery. He was discovered to be in atrial flutter which was determined to be the likely etiology of his stroke. He was hospitalized and anticoagulated with heparin; as an outpatient, his anticoagulation was maintained with the direct oral anticoagulant apixaban...
September 2023: Curēus
https://read.qxmd.com/read/37696764/an-interrupted-time-series-study-of-electronic-health-record-clinical-decision-support-for-providers-caring-for-patients-with-atrial-fibrillation-at-increased-stroke-risk
#16
JOURNAL ARTICLE
Andrew J Osterland, Marie Yasuda, Robert J Widmer, Anthony C Colavecchia, Tyler Gums, Birol Emir, Kim Nolen, Elizabeth MacLean, Paul J Godley
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: To measure the effect of clinical decision support (CDS) on anticoagulation rates in patients with atrial fibrillation (AFib) or atrial flutter (AFlut) at high stroke risk and receiving care in outpatient settings, and to assess provider response to CDS...
September 11, 2023: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/37634550/outcomes-and-readmissions-after-left-atrial-appendage-occlusion-in-octogenarians-a-contemporary-analysis
#17
JOURNAL ARTICLE
Kirolos Barsoum, Mahmoud Khalil, Mohamed Magdi Eid, Mohab Hassib, Fadi Ibrahim, Wissam Khalife, Khalid Chatila, Ritambhara Pandey, Claudine Abdou, Dhrubajyoti Bandyopadhyay, Devesh Rai, Wilbert S Aronow, Umamahesh C Rangasetty
INTRODUCTION AND OBJECTIVES: The outcomes of left atrial appendage occlusion (LAAO) with the Watchman device in octogenarians are unknown as this population was underrepresented in major clinical trials. This study aims at examining the causes and outcomes of readmission after LAAO. DESIGN: A retrospective cohort study based on the National Readmission Database in the United States. SETTINGS AND PARTICIPANT: Patients aged ≥80 years, admitted between January 2016 and December 2018, with the primary diagnosis of atrial fibrillation or flutter or who had LAAO were included in the study...
August 24, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/37614942/acute-pulmonary-embolism-with-arrhythmia-associated-with-minimal-change-disease-in-adults-a-case-report
#18
Chunyan Rong, Xuhan Liu, Baoguo Wang, Weihua Zhang
BACKGROUND: Minimal change disease (MCD) is a common pathological type of nephrotic syndrome (NS), and is one of the most common causes of NS in children, but is not common in adults. MCD is sensitive to corticosteroid therapy and has a good prognosis, but is prone to relapse. Venous thromboembolism (VTE) is less common in MCD. CASE PRESENTATION: We report a case of acute pulmonary embolism (PE) with arrhythmia associated with MCD in adults. The hypercoagulable state caused by MCD through multiple systems may be one of the important causes of thrombosis in this patient...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/37608901/cocaine-induced-isolated-bradycardic-atrial-flutter-a-rare-presentation-in-a-patient-with-a-history-of-acute-coronary-syndrome
#19
Boran Mao, Abdul Jaraki
Six months ago, a middle-aged African American male visited the cardiology clinic for a follow-up on acute coronary syndrome along with atrial fibrillation. The patient was initially diagnosed with unstable angina with palpitation and underwent cardiac catheterization. During the visit, the patient complained of unspecific chest discomfort, palpitation, and reduced exercise tolerance after the use of cocaine for several months. ECG showed the absence of atrial fibrillation but instead showed atrial flutter with bradycardia...
August 2023: Curēus
https://read.qxmd.com/read/37598348/anticoagulation-prescription-among-atrial-fibrillation-patients-managed-with-and-without-an-anticoagulant-initiation-pathway-a-cohort-study
#20
JOURNAL ARTICLE
Jaimee Carter, Christopher Kirwan, Saghar Niaz, Shriya Baweja, Fayad Al-Haimus, Yang Hu, Sophie Ramsden, Natasha Clayton, Kerstin de Wit
BACKGROUND AND IMPORTANCE: The Canadian Association of Emergency Physicians atrial fibrillation (AF) checklist advises that emergency physicians initiate anticoagulation therapy for patients with AF or flutter who are CHADS65 positive. OBJECTIVES: The aim was to compare anticoagulation initiation rates between patients treated with and without an anticoagulation assessment pathway (the SAFE pathway). DESIGN: This was a retrospective cohort study...
August 18, 2023: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
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