Document Detail


Antithrombotic strategies for the management of non-valvular atrial fibrillation.
MedLine Citation:
PMID:  15823624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atrial fibrillation (AF) is the most common cardiac arrhythmia, affecting an estimated 2.2 million Americans. The management of non-valvular AF is likely to become even more challenging over the coming decades. The treatment target of AF takes 3 forms: cardioversion, rate control, and minimization of embolic risk. Recently, rate, rather than rhythm control has emerged as a valid therapeutic option in patients with persistent AF. According to current guidelines, International Normalized Ratio-targeted oral anticoagulation and proper stratification of risk remain fundamental principles of management. This article reviews, in depth, the current therapeutic options for atrial fibrillation including oral anticoagulants and unfractionated heparin, as well as reviewing new therapeutic options including bridging therapy with low-molecular-weight heparins and the new oral antithrombotic drug, ximelagatran.
Authors:
Uwe Nixdorff
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International journal of cardiology     Volume:  100     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-12     Completed Date:  2005-07-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  191-8     Citation Subset:  IM    
Affiliation:
Friedrich-Alexander-Universität, Medizinische Klinik II mit Poliklinik, Erlangen, Germany. uwe.nixdorff@rzmail.uni-erlangen.de
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Anticoagulants / therapeutic use*
Atrial Fibrillation / drug therapy*
Azetidines / therapeutic use
Benzylamines
Combined Modality Therapy
Echocardiography, Transesophageal
Electric Countershock
Fibrinolytic Agents / therapeutic use*
Heparin, Low-Molecular-Weight / therapeutic use
Humans
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Azetidines; 0/Benzylamines; 0/Fibrinolytic Agents; 0/Heparin, Low-Molecular-Weight; 0/ximelagatran

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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