Lineamientos para profilaxis de tromboembolismos (ictus isquémico) en pacientes con fibrilación auricular de acuerdo con el puntaje CHA2DS2VASc y dosis de anticoagulantes no dependientes de vitamina K. Ann Intern Med. 2023 Jul 11. doi: 10.7326/AITC202307180. Epub ahead of print.

Facts:. 1) The CHA2DS2VASc score is not used to find patients who need anticoagulation, but those at low risk who do not. 2) The HAS-BLED score is not used to find patients at risk with anticoagulation, but to correct modifiable risk factors and "flag-up" for regular follow-up.

CHA2DS2VASC ≥ 2 is an indication of anticoagulation in the absence of absolute contraindication.

Όταν νόμιζες οτι θα περνούσες χωρίς διαβασμα γενική ιατρική , αλλα ειναι 04:42 και εχεις μπλέξει με SCORE , CHA2DS2VASc και HAS BLED

INVICTUS: In patients with RHD-AF with either mitral stenosis (valve area ≤2cm2) or CHA2DS2VASc score ≥2, VKAs reduced ischemic stroke and mortality without increasing risk of major bleeding compared to rivaroxaban. #ESCCongress #esc2022

#Enhorabuena a los investigadores #EstudioEMIR, diseño y resultados preliminares recogidos #SEC18 #SEC19 (ver fotos) y #CardioTV de @secardiologia hoy. #AFib #Anticoagulacion #Comorbilidades #Mortalidad #Ictus #Rivaroxaban #XANTUS #ROCKET #foamed #EAC #DOAC #CHA2DS2VASc #2mace

Top takeaway from AFib guidelines 🫀✅.- CHA2DS2VAsc score based OAC.- AHREs- Duration/Burden/Stroke RF.- Low threshold for pLAAO.- For HFrEF - strongly consider ablation .#TCT2024

Estudiad el #consenso #antitromboticos en pericirugia antes del #directoonline Martes 6, 18:30 #ticagrelor #DOACs #CHA2DS2VASc #HASBLED #AFib #PCI .Ya disponible PDF aquí:

ESCALA CHA2DS2VASc. ✅Evalúa el riesgo trombótico en fibrilación auricular. ✅Ayuda a decidir la indicación de terapia anticoagulante. ✅Indicación de terapia anticoagulante:.🔹Puntuación 1 o más en varones. 🔹Puntuación 2 o más en mujeres. #Cardiology #medicine

NOAH-AFNET 6 Trial -NEJM Important trial.Event-driven, double-blind, double-dummy, randomized trial pts 65 or older with device detected AF>6 min (median 2.8 h) and at least one more RF for stroke (median CHA2DS2Vasc=4). Device detected sub clinical AF in this cohort has a

Escalas CHA2DS2VASC Y HAS-BLED

Worth exploring the Posters and Abstracts on the #ESCCongress site. This interesting one from Prof Fauchier on "Delta CHA2DS2VASc" and association with stroke from >500,000 cohort. Stroke risk in AF is dynamic over time so important to keep under review:

Female, 78 yo. HT & DM2. Admitted for severe abdominal pain. Evidence of neurological deficit in MCA territory. ECG: AF. Shortly after admission: acute ischemia in right lower limb. CHA2DS2VASc: 5. No OAC. #echofirst #ASEchoJC #CardioTwitter @ASE360 @ImagenCardiaca @iamritu

Improved assessment of #dementia prediction in patients with #Afib using 2 #RiskScores: #CHA2DS2VASc #intermountain #Cognition #Diabetes #Gender #Heartfailure #Hypertension #Riskfactors #stroke #healthcare #alzheimersawareness #cardiotwitter #alzheimers

Rivaroxaban 2.5mg bid on stroke or TIA in HF, CAD and SR in COMMANDER-HF, positive results! Better in CHA2DS2VASc >=4 #HeartFailure2019

❤️ FA .Anticoagulacion: A partir de > 2 de la clasificación de CHA2DS2VASC con: ANTAGONISTAS DE LA VIT K (acetocumarol o warfarina) también la GPC recomienda los ACDO. Un px con FA <48hrs e inestable ➡️ cardioversion inmediatamente

Is AF burden important to inform the decision for anticoagulation? A paper in #Europace propose the use of CHA2DS2VASc-AFBurden score to this regard @DhirajGuptaBHRS @SABOURETCardio @rafavidalperez.@AnastasiaSMihai @TJaredBunch @JonPicciniSr @LuigiDiBiaseMD @iamritu @cpgale3

doi:10.1001/jamanetworkopen.2018.0941.A large cohort of Taiwanese w/AF vs flutter and controls suggests (despite possible ethnic peculiarities and retrospective design) that OAC may not be needed for flutter up to Cha2Ds2Vasc <5. A 20% guideline-recommended OAC use 👇 select bias

♀️47 años, hipertensa, palpitaciones de años de evolución. Consulta por palpitaciones intensas recurrentes. No síncopes. Holter con FA predominante, aleteo y múltiples pausas/paros sinusales🌛 máxima de 5 segundos. Tto: Propa 75 mg cada 12 hs y Enalapril. CHA2DS2VASc 2⃣ptos