Primary Care

Atrial Fibrillation

Questions discussed in this category

Would you consider lifelong versus short-term (i.e. several months) course of anticoagulation for patients with elevated CHADSVASc score presenting with newly diagnosed paroxysmal atrial fibrillation triggered in the setting of acute illness (i.e. tachyarrhythmias with COVID-19 or bacterial pneumonia)?

2 Answers available

What continuous duration of device defined atrial fibrillation burden warrants initiation of anticoagulation if the patient qualifies by CHA2DS2-vasc score?

2 Answers available

What is your outpatient approach to patients with new-onset paroxysmal atrial fibrillation in the setting of acute illness but who are otherwise asymptomatic with normal sinus rhythm post-hospital discharge?

Specifically, what is your approach to outpatient monitoring to assess atrial fibrillation burden for patients with CHADS2Vasc score>2?

2 Answers available

What percentage of patients with non-sustained focal atrial tachycardia detected on an outpatient Holter develop paroxysmal atrial fibrillation, and how should we identify and treat patients at the highest risk of progressing to PAF?

2 Answers available

What is a reasonable atrial fibrillation percentage burden that would benefit from systemic anticoagulation for a patient with an elevated CHA₂DS₂-VASc score?

2 Answers available

Would you favor restarting anticoagulation or pursuing left atrial appendage closure in a patient with hemorrhagic stroke on anticoagulation for non-valvular atrial fibrillation?

3 Answers available

Do you change management in patients that are taking bisphosphonates and develop atrial fibrillation?

1 Answer available

Papers discussed in this category

European heart journal, 2017-05-01

Duration of device-detected subclinical atrial fibrillation and occurrence of stroke in ASSERT.

Circulation, 2018-01-16

Treatment of Subclinical Atrial Fibrillation: Does One Plus One Always Equal Two?

N Engl J Med, 2012 Jan 12

Subclinical atrial fibrillation and the risk of stroke.

JAMA, 2001-05-09

Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study.

The American journal of cardiology, 2015-12-15

Frequent Atrial Premature Complexes and Their Association With Risk of Atrial Fibrillation.

Journal of electrocardiology, 2018

Frequent premature atrial complexes as a predictor of atrial fibrillation: Systematic review and meta-analysis.

Lancet, 2021 Aug 27

Implantable loop recorder detection of atrial fibrillation to prevent stroke (The LOOP Study): a randomised controlled trial.

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