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- W3143542139 abstract "The ninth edition of ACCP(The American College of Chest Physicians) guideline emphasizes the antithrombotic therapy based on CHADS2 stratification in patients with atrial fibrillation(AF).For patients with nonrheumatic AF(NVAF),including those with paroxysmal AF,who are at intermediate to high risk of stroke(e.g.,CHADS 2 score ≥1),we recommend oral anticoagulation,which include warfarin and a new oral anticoagulant(darbigatran).Antiplatelet treatment is not universally recommended for NVAF.The guideline also states how to choose the antithrombotic strategies in patients with acute coronary syndrome(ACS) or stent and in those undergo cardioversion.For patients with rheumatic vavular disease and prosthetic valve implantation,dose-adjusted wafarin is strongly recommended.The guideline suggests stopping VKA(vitamin K antagonist) therapy until the patient is stabilized without neurologic complications for infective endocarditis of a prosthetic valve.In patients with thrombosed prosthetic valve,fibrinolysis is recommended for right-sided valves and left-sided valves with thrombus area 0.8 cm2(Grade 2C).For patients with left-sided prosthetic valve thrombosis and thrombus area 0.8 cm2,we recommend early surgery." @default.
- W3143542139 created "2021-04-13" @default.
- W3143542139 creator A5063441808 @default.
- W3143542139 date "2013-01-01" @default.
- W3143542139 modified "2023-09-24" @default.
- W3143542139 title "Update and explanation of suggestions on anticoagulant therapy of atrial fibrillation and valvular heart disease in the 2012-edition guideline from The American College of Chest Physicians" @default.
- W3143542139 hasPublicationYear "2013" @default.
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