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  • 标题:Atrial fibrillation and thromboprophylaxis in heart failure: the need for patient-centered approaches to address adherence
  • 本地全文:下载
  • 作者:Caleb Ferguson ; Sally C Inglis ; Phillip J Newton
  • 期刊名称:Vascular Health and Risk Management
  • 印刷版ISSN:1176-6344
  • 电子版ISSN:1178-2048
  • 出版年度:2013
  • 卷号:9
  • 页码:3-11
  • DOI:10.2147/VHRM.S39571
  • 出版社:Dove Medical Press Ltd
  • 摘要:Atrial fibrillation is a common arrhythmia in heart failure and a risk factor for stroke. Risk assessment tools can assist clinicians with decision making in the allocation of thromboprophylaxis. This review provides an overview of current validated risk assessment tools for atrial fibrillation and emphasizes the importance of tailoring individual risk and the importance of weighing the benefits of treatment. Further, this review provides details of innovative and patient-centered methods for ensuring optimal adherence to prescribed therapy. Prior to initiating oral anticoagulant therapy, a comprehensive risk assessment should include evaluation of associated cardiogeriatric conditions, potential for adherence to prescribed therapy, frailty, and functional and cognitive ability.
  • 关键词:stroke risk; heart failure; atrial fibrillation; anticoagulation; risk stratification; medication adherence
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