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Can I read Anticoagulation after pulmonary vein isolation for atrial fibrillation: Associations with CHA2DS2‐VASc score, sex, and rhythm on EtoBox?

Anticoagulation after pulmonary vein isolation for atrial fibrillation: Associations with CHA2DS2‐VASc score, sex, and rhythm by Tom Kai Ming Wang; Nicholas Chan; Aro D. Arockiam; Paul C. Cremer; Mohamed Kanj; Bryan Baranowski; Walid Saliba; Ayman Hussein; Oussama M. Wazni; Wael A. Jaber is a Medicine article available to read on EtoBox.

What is Anticoagulation after pulmonary vein isolation for atrial fibrillation: Associations with CHA2DS2‐VASc score, sex, and rhythm about?

Guidelines recommend using the CHA2DS2-VASc score to determine anticoagulation decisions in atrial fibrillation (AF) patients, including those who undergo pulmonary vein isolation (PVI), however this may not consistently occur in the real-world setting because of other clinical factors. We sought to evaluate the anticoagulation prescription rates patterns in AF patients 1 year PVI at our institution. Consecutive AF patients undergoing PVI in our prospective registry during 2014−2018 who were alive at 1-year post-PVI were studied. Anticoagulation prescription rates at this time-point were adjudicated, and correlated to CHA2DS2-VASc score, sex, and heart rhythm status at 1 year. Amongst 4596 patients undergoing PVI, mean age was 64.2 ± 10.0 years, 1328 (28.9%) were female, and based on CHA2DS2-VASc score anticoagulation was not indicated, can be considered and indicated in 872 (19.0%), 1183 (25.7%), and 2541 (55.3%) patients, respectively. At 1-year after PVI, 3504 (76.2%) patients were on anticoagulation, and 792 (17.2%) had recurrence of AF. Anticoagulation was continued in over half of AF patients without classic CHA2DS2-VASc indication particularly in those with AF recurrence and

Who reads Anticoagulation after pulmonary vein isolation for atrial fibrillation: Associations with CHA2DS2‐VASc score, sex, and rhythm?

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Author
Tom Kai Ming Wang; Nicholas Chan; Aro D. Arockiam; Paul C. Cremer; Mohamed Kanj; Bryan Baranowski; Walid Saliba; Ayman Hussein; Oussama M. Wazni; Wael A. Jaber
Publisher
Wiley
Published
2023
Language
EN
Field
Medicine (Health Sciences)

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