Attitudes toward anticoagulation for postoperative atrial fibrillation: A nationwide survey of VA providers.
Introduction: Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery. Though often felt to be self‐limited, this complication has been associated with increases in both short and long‐term stroke and mortality. Several studies have also shown a high rate of AF recurr...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 43; no. 11; pp. 1295 - 1302 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146972854&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146972854 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01478389 4F8 jtl: Pacing & Clinical Electrophysiology issn: 01478389 maglogo: Y pubinfo: dt: Nov2020 vid: 43 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 146972854 146643487 146972854 146972854 10.1111/pace.14095 146972854 ppf: 1295 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Attitudes toward anticoagulation for postoperative atrial fibrillation: A nationwide survey of VA providers. aug: au: Riad, Fady S. German, Konstantin Deitz, Sarah Sahadevan, Jayakumar Sundaram, Varun Waldo, Albert L. affil: Harrington Heart and Vascular Institute, University Hospitals and Case Western Reserve University, Cleveland Ohio sug: subj: Physician Attitudes Evaluation Anticoagulants Therapeutic Use Postoperative Care Atrial Fibrillation Drug Therapy Postoperative Complications Drug Therapy Attitude to Medical Treatment Cardiac Surgery Adverse Effects Atrial Fibrillation Risk Factors Human Veterans Health Services Hospitals Cardiologists Patient Discharge Stroke Treatment Duration ab: Introduction: Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery. Though often felt to be self‐limited, this complication has been associated with increases in both short and long‐term stroke and mortality. Several studies have also shown a high rate of AF recurrence. Optimal treatment strategy is not yet defined, and the role of anticoagulation (AC) is unclear. Our objective was to determine provider attitudes toward management of this common complication. Methods: A survey consisting of 15 multiple choice questions was distributed to providers at Veterans Healthcare Administration hospitals nationwide. Results: The majority of respondents were cardiologists. Practices varied drastically with respect to AC use for patients with POAF who were discharged in normal sinus rhythm. Less variability existed for patients discharged in AF. There was no clear consensus regarding other factors to consider when deciding on AC therapy, including length of episode, or risk factors for stroke such as CHA2DS2‐VASc score. There was also no consensus on duration of therapy or need for post discharge cardiac monitoring. Conclusion: Our data indicate a wide variability in the management of POAF. This reflects conflicting recommendations in the guidelines, as well as a paucity of prospective treatment trials in this field. Nevertheless, a growing evidence base suggests that this complication carries potentially serious long‐term morbidity and mortality, and better evidence for its management is needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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