Search results for "Anticoagulation"
Transitional care can be effective, underused
Clinicians are figuring out ways to flag those complex patients in advance and then better support them during transitions in care.
https://immattersacp.org/archives/2018/11/transitional-care-can-be-effective-underused.htm
1 Nov 2018
Risk of ischemic stroke may be higher in afib patients on newer anticoagulants vs. on warfarin
The increase in stroke risk was particularly high among patients taking apixaban and dabigatran, whereas the results for rivaroxaban and edoxaban were more ambiguous.
https://immattersacp.org/weekly/archives/2018/10/23/4.htm
23 Oct 2018
Benefit of anticoagulation for stroke prevention may vary in patients with afib, study finds
An accompanying editorial said the CHA2DS2-VASc cutoff should be considered a starting point for individualized assessment rather than a threshold that applies the same way to everyone.
https://immattersacp.org/weekly/archives/2018/09/25/1.htm
25 Sep 2018
Large valsartan recall, new warnings for fluoroquinolones
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/09/large-valsartan-recall-new-warnings-for-fluoroquinolones.htm
1 Sep 2018
Updated guidelines released on antithrombotic therapy for afib
The American College of Chest Physicians provided 60 recommendation statements in the areas of stroke risk, bleeding risk, antithrombotic therapy, and management of bleeding on oral anticoagulation, among other topics.
https://immattersacp.org/weekly/archives/2018/08/28/2.htm
28 Aug 2018
At-home monitoring with wearable ECG patch associated with higher rate of new afib diagnosis
As part of the industry-supported mHealth Screening to Prevent Strokes (mSToPS) trial, researchers randomized members of a large national health plan who had an increased likelihood of undiagnosed atrial fibrillation to immediately start active home-based monitoring or delay monitoring by four months.
https://immattersacp.org/weekly/archives/2018/07/17/4.htm
17 Jul 2018
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
Multistate B. cepacia outbreak linked to foam cleanser
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2018/07/multistate-b-cepacia-outbreak-linked-to-foam-cleanser.htm
1 Jul 2018
Nuisance bleeding on oral anticoagulation not associated with risk of major bleeding
Nuisance bleeding should not lead to changes in anticoagulation strategies in patients treated with oral anticoagulation, researchers concluded.
https://immattersacp.org/weekly/archives/2018/05/01/1.htm
1 May 2018
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018