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Afib treatment

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https://www.readbyqxmd.com/read/27780690/risk-of-atrial-fibrillation-and-bleeding-diathesis-associated-with-ibrutinib-treatment-a-systematic-review-and-pooled-analysis-of-four-randomized-controlled-trials
#1
Seongseok Yun, Nicole D Vincelette, Utkarsh Acharya, Ivo Abraham
BACKGROUND: Clinical trials raised concern that ibrutinib may increase the risk of atrial fibrillation/flutter (Afib/Aflutter) and major bleeding. However, the association has not been statistically validated, and there is no consensus regarding optimal management of anticoagulation among patients receiving ibrutinib who develop Afib/Aflutter. We performed a systematic review and pooled analysis to precisely assess the risk of Afib/Aflutter and bleeding associated with ibrutinib treatment in patients with hematologic malignancies...
September 19, 2016: Clinical Lymphoma, Myeloma & Leukemia
https://www.readbyqxmd.com/read/27614403/safely-addressing-patients-with-atrial-fibrillation-to-early-anticoagulation-after-acute-stroke
#2
Isabella Canavero, Anna Cavallini, Lucia Sacchi, Silvana Quaglini, Natale Arnò, Patrizia Perrone, Maria Luisa DeLodovici, Simona Marcheselli, Giuseppe Micieli
BACKGROUND: It has been widely reported that anticoagulants (ACs) are underused for primary and secondary prevention of ischemic stroke in patients with atrial fibrillation (AFib). Furthermore, precise evidence-based guidelines about the best timing for AC initiation after acute stroke are currently lacking. METHODS AND RESULTS: In this retrospective, observational study, we analyzed prescription trends in AFib patients with acute ischemic stroke who were hospitalized in four neurologic stroke units of our region (Lombardia, Italy)...
September 7, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27387372/feasibility-testing-of-the-alert-for-afib-intervention
#3
Pamela J McCabe, Kristin Vickers Douglas, Debra L Barton, Christine Austin, Adriana Delgado, Holli A DeVon
Improving early detection and treatment of atrial fibrillation (AF) is critical because untreated AF is a major contributor to stroke and heart failure. We sought to generate knowledge about the feasibility of conducting a randomized controlled trial to test the effect of the Alert for AFib intervention on knowledge, attitudes, and beliefs about treatment-seeking for signs and symptoms of AF. Adults ≥65 years old (96% White) at risk for developing AF were randomized to receive the Alert for AFib intervention (n = 40) or an attention control session (n = 40)...
July 6, 2016: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/27179130/hemodynamics-associated-with-atrial-fibrillation-directly-alters-thrombotic-potential-of-endothelial-cells
#4
Michael B Simmers, Banumathi K Cole, Martin L Ogletree, Zhu Chen, Yiming Xu, Ling-Jie Kong, Nigel Mackman, Brett R Blackman, Brian R Wamhoff
An experimental in vitro model of the hemodynamics that occur in atrial fibrillation (AFib) in the left atrial appendage (LAA) was developed to study changes in human endothelial cell thrombotic potential. We applied human-derived sinus rhythm and AFib hemodynamic shear stress patterns to primary human endothelial cells (ECs) in culture. We found that ECs exposed to AFib hemodynamics have increased thrombotic potential as measured by increased expression of pro-thrombotic gene markers and fibrin deposition on the endothelium...
July 2016: Thrombosis Research
https://www.readbyqxmd.com/read/26666288/underuse-of-anticoagulation-in-patients-with-atrial-fibrillation
#5
REVIEW
Ajay Vallakati, William R Lewis
Atrial fibrillation (AF) is a major risk factor for ischemic stroke. Guidelines recommend anticoagulation for patients with intermediate and high stroke risk (CHA2DS2-VASc score ≥ 2). Underuse of anticoagulants among eligible patients remains a persistent problem. Evidence demonstrates that the psychology of the fear of causing harm (omission bias) results in physicians' hesitancy to initiate anticoagulation and an inaccurate estimation of stroke risk. The American Heart Association (AHA) initiated the Get With The Guidelines-AFIB (GWTG-AFIB) module in June 2013 to enhance guideline adherence for treatment and management of AF...
2016: Postgraduate Medicine
https://www.readbyqxmd.com/read/26104508/antiplatelet-therapy-during-pci-for-patients-with-stable-angina-and-atrial-fibrillation
#6
REVIEW
Amjid Iqbal, Fatima Rodriguez, Henrik Schirmer
The pharmacological treatment options for anticoagulation in patients with atrial fibrillation (Afib) have increased with the introduction of novel oral anticoagulants, compared with earlier times, when vitamin K antagonist was the drug of choice. As they age, many Afib patients require percutaneous coronary intervention (PCI), necessitating antiplatelet medication in addition to anticoagulation therapy. Choosing the appropriate combination and duration of anticoagulation and antiplatelet therapies may be challenging in stable coronary artery disease (CAD) and even more complicated during and after coronary intervention with the introduction of additional antithrombotic drugs...
August 2015: Current Cardiology Reports
https://www.readbyqxmd.com/read/25745835/an-examination-of-myth-a-favorable-cardiovascular-risk-benefit-analysis-of-high-dose-thyroid-for-affective-disorders
#7
REVIEW
Tammas Kelly
INTRODUCTION: High dose thyroid (HDT) is included in major treatment guidelines for the treatment of bipolar disorders. Yet it is seldom used partly based on perceived cardiovascular risks. The cardiovascular risks of HDT are examined. METHODS: A literature search was conducted for the cardiovascular risks of HDT and for comparisons sake psychiatric medications. Case reports of atrial fibrillation (afib) associated with HDT are reported. RESULTS: While hyperthyroidism is a significant cardiovascular risk factor causing a 20% premature death rate, HDT treatment does not appear to be of significant cardiovascular risk...
May 15, 2015: Journal of Affective Disorders
https://www.readbyqxmd.com/read/25471947/radiotherapy-beyond-cancer-target-localization-in-real-time-mri-and-treatment-planning-for-cardiac-radiosurgery
#8
S Ipsen, O Blanck, B Oborn, F Bode, G Liney, P Hunold, D Rades, A Schweikard, P J Keall
PURPOSE: Atrial fibrillation (AFib) is the most common cardiac arrhythmia that affects millions of patients world-wide. AFib is usually treated with minimally invasive, time consuming catheter ablation techniques. While recently noninvasive radiosurgery to the pulmonary vein antrum (PVA) in the left atrium has been proposed for AFib treatment, precise target location during treatment is challenging due to complex respiratory and cardiac motion. A MRI linear accelerator (MRI-Linac) could solve the problems of motion tracking and compensation using real-time image guidance...
December 2014: Medical Physics
https://www.readbyqxmd.com/read/25407956/massive-purulent-pericardial-effusion-presenting-as-atrial-fibrillation-with-rapid-rate-case-report-and-review-of-the-literature
#9
REVIEW
Amit Kathrotia, Mohan R Hindupur
BACKGROUND: Although pericardial effusion with afib is not rare, the combination of purulent pericardial effusion presenting as afib is not a common occurrence particularly in the developing world.The more common symptoms associated with purulent pericardial effusion are fever, dyspenia, and tachycardia. Without prompt recognition followed by antibiotics and surgical drainage, tamponade, and shock can potentially lead to death. CASE REPORT: A 59-year-old male was transferred to our hospital for evaluation of afib with rapid rate associated with cough and dyspenia...
2014: American Journal of Case Reports
https://www.readbyqxmd.com/read/25185244/get-with-the-guidelines-afib-novel-quality-improvement-registry-for-hospitalized-patients-with-atrial-fibrillation
#10
William R Lewis, Jonathan P Piccini, Mintu P Turakhia, Anne B Curtis, Margaret Fang, Robert E Suter, Robert L Page, Gregg C Fonarow
BACKGROUND: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. It is a cause of stroke, heart failure, and death. Guideline-based treatment can improve outcomes in AF. Unfortunately, adherence to these guidelines is low. Get With The Guidelines is a hospital-based performance initiative, which has been shown to improve adherence over time. Get With The Guidelines-AFIB is a novel quality improvement registry designed to improve adherence to AF guidelines. METHODS AND RESULTS: Hospitals will be recruited by regional American Heart Association staff and key stakeholders...
September 2014: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/25177784/-approximation-of-mathematical-scanning-simulation-data-and-clinical-results-f-radiofrequency-ablation-of-perimitral-atrial-flutter-condition-of-existence-of-perimitral-atrial-flutter
#11
M E Mazurov, A V Ardashev, E G Zheliakov, I Kaliuzhnyĭ, V A Fin'ko, Iu N Belenkov
AIM: 1) to create Perimitral Atrial Flutter (PMAFL) model and estimate theoretical probability of elimination of perimital reetntry using left atrial geometry two-dimensional mathematical modeling and ablative formatting; 2) to compare clinical results of PMAFL ablation by means of mitral vs inferioseptal isthmus ablation and mathematical modeling data. MATERIAL AND METHODS: Clinical phase. Study was conducted on 24 pts (6 women, 57.1 ± 9.3 years) with PMAFL. Initially RF-lesions delivered in LA in the MI (endocardial approach to MI)...
2014: Kardiologiia
https://www.readbyqxmd.com/read/24868607/new-techniques-for-treating-afib-new-devices-and-treatments-can-help-prevent-irregular-atrial-heart-rhythms-and-related-risks
#12
(no author information available yet)
No abstract text is available yet for this article.
March 2014: Harvard Heart Letter: From Harvard Medical School
https://www.readbyqxmd.com/read/24800479/-predictive-value-of-cardiopulmonary-exercise-testing-in-various-categories-of-patients-with-chronic-heart-value
#13
I Iu Giverts, M G Poltavskaia, A V Brand, O N Dikur, D A Andreev, A A Doletskiĭ, V P Sviridenko, O V Pesheva, V P Sedov, P Sh Chomakhidze, E E Iakubovskaia, A L Syrkin
AIM: To specify the prognostic value of parameters of cardiopulmonary exercise testing (CPET) in patients with chronic heart value (CHF) on optimal medical treatment depending on gender, age, left ventricular ejection fraction (LVEF), cardiac rhythm and achievement of target respiratory exchange ratio (RER) > or = 1.0. MATERIALS AND METHODS: 111 patients (83 male, mean age 60.6 +/- 12.8 years) with CHF NYHA class I-III on optimal treatment were included in the study...
2013: Kardiologiia
https://www.readbyqxmd.com/read/24655745/afib-in-special-populations
#14
William J French
For physicians who see and treat patients who present with AFib in routine clinical practice there are 4 important factors to understand and bear in mind when diagnosing and planning treatment strategies: age, gender, prior or incident heart failure, and underlying coronary artery disease (CAD) and acute coronary syndrome (ACS). (online video available at: http://education.amjmed.com/video.php?event_id=445&stage_id=5&vcs=1). This review addresses the clinical characteristics of each of these presentations in order...
April 2014: American Journal of Medicine
https://www.readbyqxmd.com/read/24655743/afib-treatment-general-population
#15
Steven A Rothman
When primary care physicians are presented with a patient with atrial fibrillation (AFib), there are two concerns. (online video available at: http://education.amjmed.com/video.php?event_id=445&stage_id=5&vcs=1). One is the choice of strategy to treat the AFib, ie, whether to use rate control or a rhythm control strategy (to keep patients in sinus rhythm). The second concern is preventing the principal risk associated with AFib: stroke and systemic embolism. The focus of this review is stroke prevention, concentrating on risk assessment and traditional versus the new oral anticoagulation agents...
April 2014: American Journal of Medicine
https://www.readbyqxmd.com/read/24487524/the-atrial-fibrillation-ablation-pilot-study-a-european-survey-on-methodology-and-results-of-catheter-ablation-for-atrial-fibrillation-conducted-by-the-european-heart-rhythm-association
#16
MULTICENTER STUDY
Elena Arbelo, Josep Brugada, Gerhard Hindricks, Aldo P Maggioni, Luigi Tavazzi, Panos Vardas, Cécile Laroche, Frédéric Anselme, Giuseppe Inama, Pierre Jais, Zbigniew Kalarus, Josef Kautzner, Thorsten Lewalter, Georges H Mairesse, Julian Perez-Villacastin, Sam Riahi, Milos Taborsky, George Theodorakis, Serge A Trines
AIMS: The Atrial Fibrillation Ablation Pilot Study is a prospective registry designed to describe the clinical epidemiology of patients undergoing an atrial fibrillation (AFib) ablation, and the diagnostic/therapeutic processes applied across Europe. The aims of the 1-year follow-up were to analyse how centres assess in routine clinical practice the success of the procedure and to evaluate the success rate and long-term safety/complications. METHODS AND RESULTS: Seventy-two centres in 10 European countries were asked to enrol 20 consecutive patients undergoing a first AFib ablation procedure...
June 7, 2014: European Heart Journal
https://www.readbyqxmd.com/read/24142683/antithrombotic-therapy-in-patients-with-atrial-fibrillation-and-acute-coronary-syndrome-in-the-real-world-data-from-the-berlin-afibacs-registry
#17
RANDOMIZED CONTROLLED TRIAL
Birga Maier, Claire Hegenbarth, Heinz Theres, Ralph Schoeller, Helmut Schuehlen, Steffen Behrens
BACKGROUND: Guidelines for the management of atrial fibrillation (AFib) recommend antithromboembolic treatment strategies for patients with AFib and acute coronary syndrome (AFibACS). Our study assessed how current guidelines are implemented in the metropolitan area of Berlin and which therapeutic options were chosen in light of stroke and bleeding riskin everyday practice. METHODS AND RESULTS: Between April 2008 and January 2012, we included 1,295 AFibACS patients in the AFibACS Registry, as part of the Berlin Myocardial Infarction Registry...
2014: Cardiology Journal
https://www.readbyqxmd.com/read/23907693/spontaneous-left-atrial-reentry-tachycardias-radiofrequency-ablation-and-outcome
#18
RANDOMIZED CONTROLLED TRIAL
R Schneider, C Schneider, D Bänsch
AIMS: Spontaneous left atrial reentry tachycardias (LART) in patients without previous cardiac surgical or catheter ablation are rare. Several therapeutic concepts of catheter ablation have been suggested: linear lesions (LL), circumferential pulmonary vein isolation (PVI), and both (LL + PVI). METHODS AND RESULTS: In all, 28 consecutive symptomatic patients with 51 LARTs presented to our institution for catheter ablation. Electroanatomical mapping was performed on 25 patients...
February 2015: Herz
https://www.readbyqxmd.com/read/23704711/predictors-and-consequences-of-postoperative-atrial-fibrillation-following-robotic-totally-endoscopic-coronary-bypass-surgery
#19
Felix Weidinger, Thomas Schachner, Nikolaos Bonaros, Benedikt Hofauer, Eric J Lehr, Mark Vesely, David Zimrin, Johannes Bonatti
OBJECTIVES: Postoperative atrial fibrillation (AFib) is common in patients undergoing coronary artery bypass grafting. Little information is available concerning AFib following minimally invasive cardiac surgery. The aim of our study was to assess the incidence of AFib after totally endoscopic coronary artery bypass (TECAB) grafting and to investigate the factors influencing its occurrence. METHODS: Between 2001 and 2010, we performed TECAB in 384 patients, 73% male, aged 60 (37-90) years...
February 2014: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/23681208/the-hatch-and-cha2ds-2-vasc-scores-prognostic-value-in-pulmonary-vein-isolation
#20
E U Schmidt, R Schneider, J Lauschke, I Wendig, D Bänsch
AIMS: The HATCH score describes the risk of paroxysmal atrial fibrillation (Afib) progression, while the CHA2DS2vasc score depicts the risk of thromboembolic events in patients with Afib. We hypothesized that both scores may predict failure of Afib ablation. METHODS AND RESULTS: In all, 449 consecutive patients (65.5 % male, mean age 61.7 ± 10.1 years) who presented to our institution for Afib ablation were investigated. A HATCH score of 0, 1, 2, 3, and ≥ 4 was found in 19...
May 2014: Herz
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