Document Detail

Stroke prevention practices in patients with atrial fibrillation and pacemaker therapy: evidence for under-use of anticoagulation.
MedLine Citation:
PMID:  11225937     Owner:  NLM     Status:  MEDLINE    
This study presents a survey of pacemaker patients followed in a pacemaker clinic. Three hundred and twenty-six patients of mean age 77.7 +/- 9.6 years, 52% female, 75% VVI, 25% dual chamber were analysed. One hundred and forty (43%) were in atrial fibrillation and were older, 80.5 +/- 7.1 years, compared with 75.5 +/- 11.4 years (P = 0.014) for those in sinus rhythm. Temporary pacemaker reprogramming was necessary in 86% in order to determine the abnormal rhythm. Thirty-nine (28%) of those in atrial fibrillation were anticoagulated; 37% were on aspirin; only 10.8% of those in atrial fibrillation who were not anticoagulated had contraindications to this therapy. Prevalence of atrial fibrillation increased with age, whereas that of anticoagulation decreased with age. In conclusion, the majority of pacemaker patients with atrial fibrillation, for whom anticoagulation is indicated, fails to receive it: those caring for these patients are urged to ensure its much wider use.
J Carlsson; S Miketic; G Dees; S Haun; A Cuneo; U Tebbe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  2     ISSN:  1099-5129     ISO Abbreviation:  Europace     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2001-02-27     Completed Date:  2001-04-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  115-8     Citation Subset:  IM    
Department of Cardiology, Kerckhoff-Klinik, Bad Nauheim, Germany.
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MeSH Terms
Aged, 80 and over
Anticoagulants / therapeutic use*
Atrial Fibrillation / complications*,  therapy*
Middle Aged
Pacemaker, Artificial*
Physician's Practice Patterns
Stroke / etiology*,  prevention & control*
Reg. No./Substance:

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