Improving Stroke Prevention in Patients With Atrial Fibrillation.
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Transcript of Improving Stroke Prevention in Patients With Atrial Fibrillation.
![Page 1: Improving Stroke Prevention in Patients With Atrial Fibrillation.](https://reader036.fdocuments.net/reader036/viewer/2022062314/56649d8d5503460f94a74c81/html5/thumbnails/1.jpg)
Improving Stroke Prevention in Patients With Atrial Fibrillation
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Acknowledgement
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Disclosures
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Disclosures (cont.)
• This presentation will not include any non-FDA approved or investigational uses of products or medical devices.
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Learning Objectives
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Atrial Fibrillation (AF): Incidence and Consequences
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Projected Number of Persons With AF in the US: 2000 to 2050
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AF and Stroke
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Greater Risk of Death and Recurrence With AF Strokes
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Disability vs Age Group in Those With Acute Ischemic Stroke (AIS) vs AF-AIS
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Anticoagulation: Assessing Benefits and Risks
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Question
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Case 1
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CHADS2 Index: A Validated Classification Scheme/Tool for Stroke Risk
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Weakness of CHADS2
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The CHA2DS2-VASc Index
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CHA2DS2-VASc vs CHADS2: Which to Use?
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Case 2
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ACC/AHA/ESC Guidelines
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Risk Stratification and Anticoagulation
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Underuse of Anticoagulants in AF
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Barriers to Anticoagulant Use
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Barriers to Anticoagulation?
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Bleeding Risk
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Bleeding Risk: The Reality
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Anticoagulation in Patients at Risk of Falls: “Physicians’ Fears Are Often Unfounded”
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Assessing Bleeding Risk: HAS-BLED
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Reducing Bleeding Risk
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Anticoagulation Decision Support Worksheet
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Anticoagulation Decision Support Worksheet (cont.)
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The Patient: Decision Making and Education
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Patient Preferences
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Patient vs Physician Perspectives on Anticoagulation
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Explaining Risk to Patients: Numerous Tools Available
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Patient Knowledge About Warfarin
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Patient Adherence to Warfarin
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Risk Factors for Warfarin Nonadherence
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Improving Patient Adherence to Anticoagulants
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Which Antithrombotic Therapy?
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Generic/Trade Name Guide for Drugs Mentioned in Presentation
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Features of Available Anticoagulants
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Warfarin and Novel Anticoagulant Mechanisms of Action
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Choosing an Anticoagulant
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Question Check
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Clopidogrel and/or Aspirin?
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ACC/AHA/ESC Guidelines: Warfarin vs Aspirin
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Warfarin: The Gold Standard
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Currently Available Oral Anticoagulants
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Clinical Trial Data
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Limitations/Concerns With Available Anticoagulants
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Visit TEAManticoag.com for a Medication Chart (Keyword: chart)
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ACC/AHA/ESC Guidelines: Managing Through Medical Procedures
to Prevent Thrombosis
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Drug-Specific Guidelines for Managing Through Medical Procedures
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When to Switch From Warfarin
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Remain With Warfarin if …
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Switching From Warfarin: How?
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Visit TEAManticoag.com for Tools, Handouts, Calculators, and More
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Periprocedural Anticoagulation Algorithm on TEAManticoag.com (Keyword: periprocedural)
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Decision Tool to Use With Patients on TEAManticoag.com (Keyword: decision)
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TEAM-A Town Hall on TEAManticoag.com