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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

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Published on: February 26, 2013

Trends in the management of atrial fibrillation: A neurologist's perspective

Vishnumurthy Shushrutha Hedna1, Christopher G Favilla, Waldo R Guerrero

  • 1Department of Vascular Neurology, University of Florida, Gainesville, USA.

Journal of Cardiovascular Disease Research
|December 13, 2012
PubMed

Insights

Atrial fibrillation (AF) causes a quarter of ischemic strokes. This review explores new oral anticoagulants and surgical devices for stroke prevention in AF patients, offering a neurologist

Area of Science:

  • Neurology
  • Cardiology
  • Internal Medicine

Background:

  • Cardiac embolism from atrial fibrillation (AF) accounts for 25% of ischemic strokes.
  • Managing AF stroke risk presents challenges, especially with contraindications to traditional anticoagulants.
  • Evolving medical and surgical treatments offer new options for AF management.

Purpose of the Study:

  • To review current trends in atrial fibrillation management for stroke prevention.
  • To discuss newer oral anticoagulants and surgical devices for secondary stroke prophylaxis in AF patients.
  • To provide a neurologist's perspective on therapeutic choices.

Main Methods:

  • Review of current literature on atrial fibrillation management.
  • Analysis of newer oral anticoagulants (NOACs) and surgical interventions.
  • Focus on therapeutic strategies relevant to neurological outcomes.

Main Results:

  • A wide array of therapeutic options now exists for AF management.
  • Newer oral anticoagulants offer alternatives to traditional therapies.
  • Surgical devices provide additional avenues for stroke risk reduction in specific AF populations.

Conclusions:

  • Optimal management of AF for stroke prevention requires consideration of diverse therapeutic options.
  • Neurologists play a key role in guiding secondary stroke prophylaxis decisions in AF patients.
  • Emerging therapies enhance the ability to tailor treatment for individual patient needs and contraindications.

Keywords:
Anticoagulationatrial fibrillationatriclipreversal of anticoagulation

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