Anticoagulation Management in haemodialysis patients with atrial fibrillation

Anticoagulation Management in haemodialysis patients with atrial fibrillation - The Missing Link

The missing link in the debate on OAC in dialysis patients is appropriate risk stratification. The CHA2DS2-VASc score is widely employed to stratify the risk of ischaemic stroke in patients with AF, superseding the previously used CHADS2 score because of its better discriminative value. OAC is officially recommended when patients with AF have CHA2DS2-VASc scores ≥2 for men and ≥3 for women [2]. When this criterion is applied to the HD population with AF, nearly all patients qualify for OAC. However, the incidence of stroke appears to be lower in HD patients with AF than in non-dialysis patients with similar CHA2DS2-VASc scores [30], implying that the CHA2DS2-VASc score overestimates stroke risk in dialysis patients. In addition, the high risk of mortality due to bleeding may outweigh the stroke risk in a substantial proportion of dialysis patients with AF.

Comments

Approach to Supraventricular Tachycardia - SVT

I would like to share with you about SVTs, or supraventricular tachycardia, today. I'll be focusing on the pathophysiology, ECG features, and the management of SVT today. So this is a brief outline of the lecture today. I will be going through the definition of SVTs, followed by a brief classification of tachyarrhythmias, the pathophysiology behind it all, ECG features, and management principles of SVTs. I will round off the lecture with a clinical scenario related to the topic. This lecture is meant to be a basic introduction to SVTs, and is by all means not exhaustive. So without further ado, let us begin. Supraventricular tachycardias are defined as narrow complex tachycardias where the point of stimulation arises from above the bundle branches. There are many types of SVTs, as will be shown in the next slide, and some are more common than the others. However, in our local context, it is used interchangeably with proximal supraventricular tachycardias, which make up...

What is Duke treadmill Score (DTS) and How to calculate it?

Watch this simple video on DTS calculation with example case: Commonly asked questions: How to Calculate Duke treadmill Score? What is DTS? How to risk stratify a patient with ETT (Exercise Tolerance Test)? #Cardiology #Non-Invasive risk Stratification

Learn Echocardiography | Standard Protocol for Performing Comprehensive Echocardiogram | Explained with Images and Videos

If you are just starting to learn echocardiography, you will find that learning the full echo examination protocol will be immensely useful. The full protocol will provide a solid foundation for your career in echo. I personally found that once I could execute the standard protocol flawlessly, I was able to add and refine additional echo scanning skills while deepening my understanding of the purpose of each echo image. The echo protocol illustrated in this article is the same one we currently use for all our patients in the hospital and meets or exceeds the standards of American Society of Echocardiography (ASE) for an adult echocardiography examination. The protocol presented here is meant as a guideline and does not cover every aspect (such as off axis views) of an echo examination. Also other hospitals will probably have slight variations of this protocol depending on the lab's needs, which is normal. This article's main purpose is to provide a solid foundation for ...

Dr. Usman's Cardiology Notes

Search This Blog