2016 EUROPEAN AF CHADVAS2SCORE RECOMMENDATION

Atrial fibrillation AF is the most common cardiac arrhythmia affecting 0709 of the general population of the US 25 million people. OAC and clopidogrel 75 mgday or alternatively aspirin 75-100 mgday Lifelong.

Antithrombotics Anticoagulants Including Noacs Springerlink

Intercollegiate Stroke Working Party.

. The 2016 European Society of Cardiology ESC guidelines recommend using the CHA2DS2-VASc score to estimate stroke risk in AF patients and to start OACs in men with a score of 1 or higher and women with a score of 2 or higher. 2 or more High risk Consider oral Anticoagulation. ESC Clinical Practice Guidelines.

Thus the recommendation by the ESC is full anticoagulation aspirin and aspirin clopidogrel are relegated to remote second-line therapy for CHA 2 DS 2-VASc score of 1 or higher after excluding females with no other risk factors and age 65 years who as with men with the same criteria do not need anticoagulation. Substantial research efforts and resources are being directed towards gaining detailed information about the mechanisms underlying AF its natural course and effective treatments. 1 Intermediate risk Consider aspirin or Oral Anticoagulation.

1 male Moderate risk Consider. And European guidelines recommend use of the CHA2DS2-VASc rather than CHADS2 score for stroke risk stratification in atrial fibrillation AF. The 2016 European Society of Cardiology ESC guidelines recommend using the CHA 2 DS 2 -VASc score to estimate stroke risk in AF patients and to start OACs in men with a score of 1 or higher and.

CHA 2 DS 2 -VASC 2 ACS. National clinical guideline for stroke 5th Edition. It recommends OAC for most patients 65 years of age and for younger patients with a Congestive Heart Failure Hypertension Age Diabetes StrokeTransient Ischemic Attack CHADS 2 score 1.

The European Society of Cardiology ESC and National Institute for Health and Care Excellence NICE guidelines recommend that if the patient has a CHA 2 DS 2-VASc score of 2 and above oral anticoagulation therapy OAC with a vitamin K antagonist VKA eg. 1 The clinical characteristics from which the CHA 2 DS 2 VASc score is derived are however all. Atrial fibrillation AF poses a significant burden to patients physicians and healthcare systems globally.

The 2016 European Society of Cardiology ESC guidelines recommend using the CHA 2 DS 2 -VASc score to estimate stroke risk in AF patients and to start OACs in men with a score of 1 or higher and. Over the last five years major advances in the management of atrial fibrillation AF have occurred. Warfarin with target INR of 2-3 or one of the direct oral anticoagulant drugs DOACs eg.

In patients with AF who have a CHA 2 DS 2 VASc risk score of 2 points in men and 3 points in women anticoagulation therapy is generally recommended class IA recommendation in the European Society of Cardiology AF management guidelines. Atrial Fibrillation 295 F. Comparing the 2010 North American and European Atrial Fibrillation Guidelines.

ANTICOAGULATION ACCORDING TO SCORE RESULTS. 0 male or 1 female Low risk No anticoagulant. Triple therapy of OAC aspirin 75-100 mgday clopidogrel 75 mgday d.

Atrioventricular Block and Pacing 296 VI. Mgd Conditional Recommendation Moderate-Quality Evidence. This article is based on Gillis AM Skanes AC.

Eur Heart J 2016Jun 9Epub ahead of print. The Task Force for the management of atrial fibrillation of the European Society of Cardiology ESC. AF is equally distributed in men and women and the.

However the CHA2DS2-VASc score has not been proved to be better than CHADS2 score. The 2016 ESC AF guidelines commendably prefer NOACs dabigatran rivaroxaban apixaban or edoxaban over VKAs when starting OAC in NOAC-eligible patients class I level A but do not make such a strong preference for NOACs in patients already taking VKA even if the. Updated European Heart Rhythm Association Practical Guide on the Use of Non-Vitamin-K Antagonist Anticoagulants in Patients With Non-Valvular Atrial Fibrillation.

ASA for patients 65 years of age with a CHADS 2 score 0 with arterial vascular disease coronary aortic or peripheral. 1718 Its prevalence increases with age being present in about 5 of persons at age 65 years and in 10 at age 80 years. Detection of Early Myocardial Disease and Prognosis 301 VII.

Diastolic Doppler and 2D Imaging Variables for Prognosis in Patients with. Triple therapy of OAC aspirin 75-100 mgday clopidogrel 75 mgday d. If the patient has stable CADvascular disease and is aged 65 years or the CHADS2 score 1 we recommend OAC therapy alone Strong Recommendation High-Quality Evidence.

The quality of the management of VKA therapy has generally improved particularly in Europe. Karen Furie Muhib Khan in Stroke Sixth Edition 2016. Up to 12th month.

0 Low risk Consider aspirin 81-325mg daily. Novel Indices of LV Diastolic Function 301 VIII. Diastolic Stress Test 298 A.

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