CCMS Medicine Summer 2017 - 10

www.CHESTERCMS.org

The American Heart Association's guidelines are similar
but they do not give preference of anticoagulants and leave
a CHA2DS2-VASc score of 1 to the physician's discretion
whether to anticoagulate or use antiplatelet therapy.

The importance of this model is exhibited in the image below
and as you can see the adjusted stroke rate increases from less than
2% with a score of 0 to almost 20% with a score of 6.

Left atrial appendage occlusion has tentative evidence to
reduce risk of stroke but studies are in progress to make it more
mainstream therapy.

Summary
There are other models available but currently CHA2DS2VASc is universally accepted and followed.
The European Society guideline algorithm is given below; they
prefer everyone with a CHA2DS2-VASc score of 1 or more to
receive anticoagulation and they prefer newer anticoagulants over
warfarin and use warfarin as an alternate.

10 CHESTER COUNT Y Medicine | SUMMER 2017

Atrial fibrillation is a very complex and important medical
ailment and results in extensive mortality and morbidity. We
have attempted to explain its etiology, pathogenesis, diagnosis,
and management with special attention to anticoagulants.

This article was a
collaboration between
Mian A. Jan, MD an
interventional cardiologist practicing in Chester
County, and Zarshawn
Jan, a third- year medical
student at Drexel
University College
of Medicine.


http://chestercms.org/index.html

Table of Contents for the Digital Edition of CCMS Medicine Summer 2017

CCMS Medicine Summer 2017 - 1
CCMS Medicine Summer 2017 - 2
CCMS Medicine Summer 2017 - 3
CCMS Medicine Summer 2017 - 4
CCMS Medicine Summer 2017 - 5
CCMS Medicine Summer 2017 - 6
CCMS Medicine Summer 2017 - 7
CCMS Medicine Summer 2017 - 8
CCMS Medicine Summer 2017 - 9
CCMS Medicine Summer 2017 - 10
CCMS Medicine Summer 2017 - 11
CCMS Medicine Summer 2017 - 12
CCMS Medicine Summer 2017 - 13
CCMS Medicine Summer 2017 - 14
CCMS Medicine Summer 2017 - 15
CCMS Medicine Summer 2017 - 16
CCMS Medicine Summer 2017 - 17
CCMS Medicine Summer 2017 - 18
CCMS Medicine Summer 2017 - 19
CCMS Medicine Summer 2017 - 20
CCMS Medicine Summer 2017 - 21
CCMS Medicine Summer 2017 - 22
CCMS Medicine Summer 2017 - 23
CCMS Medicine Summer 2017 - 24
CCMS Medicine Summer 2017 - 25
CCMS Medicine Summer 2017 - 26
CCMS Medicine Summer 2017 - 27
CCMS Medicine Summer 2017 - 28
CCMS Medicine Summer 2017 - 29
CCMS Medicine Summer 2017 - 30
CCMS Medicine Summer 2017 - 31
CCMS Medicine Summer 2017 - 32
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSummer2020
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSpring2020
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineWinter2020
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineFall2019
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSummer2019
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSpring2019
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineWinter2019
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineFall2018
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSUMMER2018
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineSpring2018
https://www.nxtbook.com/hoffmann/CCMSMedicine/ChesterCountyMedicineWinter2018
https://www.nxtbook.com/hoffmann/CCMSMedicine/CCMSMedicineFall2017
https://www.nxtbook.com/hoffmann/CCMSMedicine/CCMSMedicineSummer2017
https://www.nxtbook.com/hoffmann/CCMSMedicine/CCMSMedicineSpring2017
https://www.nxtbook.com/hoffmann/CCMSMedicine/CCMSMedicineWinter2017
https://www.nxtbookmedia.com