Appropriateness criteria for the management of anticoagulant therapy in complex patients with atrial fibrillation. The opinion of a group of expert Italian cardiologists
Atrial fibrillation (AF) is a common arrhythmia often associated with high thromboembolic risk. The purpose of this position paper is to provide clinicians with recommendations useful in managing some important issues regarding the use of anticoagulant therapy in patients with AF in particularly complex clinical situations.The RAND/UCLA appropriateness method, validated to combine the best available scientific evidence with the collective judgment of experts, was used to assess the judgment of an expert panel of cardiologists. To this purpose, the benefit-to-harm ratio of 37 clinical scenarios was rated. Each indication was classified as "appropriate", "uncertain", or "inappropriate" in accordance with the panelists' median score.The present document reports the results of this consensus process, which led to the development of recommendations for clinical practice on how to use anticoagulant therapy in patients with AF in complex clinical settings, including the presence of comorbidities, cardioversion, or ablation. Non-vitamin K oral anticoagulants are a valid alternative to vitamin K antagonists in preventing embolic events in patients with non-valvular AF, particularly in case of clinical complexity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
Giornale italiano di cardiologia (2006) - 19(2018), 10 vom: 12. Okt., Seite 591-600 |
| Sprache: |
Italienisch |
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| Weiterer Titel: |
Criteri di appropriatezza nella gestione della terapia anticoagulante nel paziente complesso con fibrillazione atriale. L’opinione di un gruppo di esperti cardiologi italiani |
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| Beteiligte Personen: |
Botto, Giovanni Luca [VerfasserIn] |
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| Links: |
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| Themen: |
Anticoagulants |
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| Anmerkungen: |
Date Completed 20.09.2019 Date Revised 20.09.2019 published: Print Citation Status MEDLINE |
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| doi: |
10.1714/2978.29844 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM289165873 |
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| 245 | 1 | 0 | |a Appropriateness criteria for the management of anticoagulant therapy in complex patients with atrial fibrillation. The opinion of a group of expert Italian cardiologists |
| 246 | 3 | 3 | |a Criteri di appropriatezza nella gestione della terapia anticoagulante nel paziente complesso con fibrillazione atriale. L’opinione di un gruppo di esperti cardiologi italiani |
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| 520 | |a Atrial fibrillation (AF) is a common arrhythmia often associated with high thromboembolic risk. The purpose of this position paper is to provide clinicians with recommendations useful in managing some important issues regarding the use of anticoagulant therapy in patients with AF in particularly complex clinical situations.The RAND/UCLA appropriateness method, validated to combine the best available scientific evidence with the collective judgment of experts, was used to assess the judgment of an expert panel of cardiologists. To this purpose, the benefit-to-harm ratio of 37 clinical scenarios was rated. Each indication was classified as "appropriate", "uncertain", or "inappropriate" in accordance with the panelists' median score.The present document reports the results of this consensus process, which led to the development of recommendations for clinical practice on how to use anticoagulant therapy in patients with AF in complex clinical settings, including the presence of comorbidities, cardioversion, or ablation. Non-vitamin K oral anticoagulants are a valid alternative to vitamin K antagonists in preventing embolic events in patients with non-valvular AF, particularly in case of clinical complexity | ||
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| 700 | 1 | |a Cappato, Riccardo |e verfasserin |4 aut | |
| 700 | 1 | |a Capucci, Alessandro |e verfasserin |4 aut | |
| 700 | 1 | |a D'Onofrio, Antonio |e verfasserin |4 aut | |
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| 700 | 1 | |a Boriani, Giuseppe |e verfasserin |4 aut | |
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