TY - JOUR
T1 - Secondary Stroke Prevention in Nonvalvular Atrial Fibrillation
AU - Damani, Rahul H.
AU - Suarez, Jose I.
N1 - Publisher Copyright:
© Copyright 2016 by The Southern Medical Association.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Approximately 750,000 US adults per year experience a stroke. On average, the annual risk for future ischemic stroke (secondary stroke) after an initial ischemic stroke or transient ischemic attack is approximately 3% to 4%. Cardioembolic strokes account for 20% to 25% of all strokes, with nonvalvular atrial fibrillation (NVAF) considered one of the main sources of embolism; this explains up to half of all cardioembolic strokes. We present the risk factors for stroke in NVAF, risk stratification, a diagnosis of NVAF, and treatment and prevention of stroke in NVAF. We reviewed the literature by performing a PubMed search of articles focusing on secondary stroke prevention in NVAF. This review examines the findings of major clinical trials and society guidelines for secondary stroke prevention in NVAF and presents a cost-effectiveness analysis.
AB - Approximately 750,000 US adults per year experience a stroke. On average, the annual risk for future ischemic stroke (secondary stroke) after an initial ischemic stroke or transient ischemic attack is approximately 3% to 4%. Cardioembolic strokes account for 20% to 25% of all strokes, with nonvalvular atrial fibrillation (NVAF) considered one of the main sources of embolism; this explains up to half of all cardioembolic strokes. We present the risk factors for stroke in NVAF, risk stratification, a diagnosis of NVAF, and treatment and prevention of stroke in NVAF. We reviewed the literature by performing a PubMed search of articles focusing on secondary stroke prevention in NVAF. This review examines the findings of major clinical trials and society guidelines for secondary stroke prevention in NVAF and presents a cost-effectiveness analysis.
KW - cardioembolic stroke
KW - nonvalvular atrial fibrillation
KW - novel anticoagulants
KW - oral anticoagulation
KW - warfarin
UR - http://www.scopus.com/inward/record.url?scp=84994236172&partnerID=8YFLogxK
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U2 - 10.14423/SMJ.0000000000000552
DO - 10.14423/SMJ.0000000000000552
M3 - Article
C2 - 27812719
AN - SCOPUS:84994236172
SN - 0038-4348
VL - 109
SP - 721
EP - 729
JO - Southern medical journal
JF - Southern medical journal
IS - 11
ER -