Gregory Y. H. Lip - Böcker

Thromboprophylaxis in Atrial Fibrillation: From Research to Clinical Practice

High blood pressure is a common chronic medical problem encountered in primary care, yet it is commonly under diagnosed. ABC of Hypertension is a long established, practical guide to the investigation, treatment and management of hypertensive patients. This sixth edition: Provides practical guidance on measurement of blood pressure and the investigation and management of hypertensive patientsExplains new developments in measurement and automated measurement of blood pressure andUpdates coverage on treatment of the elderly and explains of the implications of recent trialsIncorporates current British Hypertension Society and NICE guidelines

Aimed specifically at general practitioners, this new addition to the series covers an important area of cardiovascular therapy. It discusses both the mechanisms of antithrombotic therapy and its uses for parents at risk, and will be a highly practical guide in primary care.

This book provides a clear, concise, management-orientated approach to atrial fibrillation. It also provides a useful and practical guide to the issues relating to this common cardiac problem, to improve the care and treatment of these patients.

This book considers paradigmatic clinical cases in order to cast light on key issues relating to elective or emergency stent implantation and the use of oral anticoagulation (OAC) in patients with atrial fibrillation. The topics addressed include the optimal periprocedural antithrombotic treatment (uninterrupted vs interrupted OAC, intraprocedural use of heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most appropriate type of stent (bare metal vs drug eluting vs “bioactive”), the optimal regimen (e.g., triple therapy of OAC, aspirin, and clopidogrel vs the combination of OAC and a single antiplatelet agent), and the most suitable duration of the antithrombotic treatment prescribed at discharge (1 vs 6–12 months).The case-based management recommendations will be of wide practical value in the current health care context, where percutaneous coronary intervention is available even to patients with relevant co-morbidities, such as those warranting long-term OAC, and the indications for OAC are much broader than in the past. The book will appeal especially to clinical and interventional cardiologists, internal medicine specialists, hematologists, and family physicians and will also be of interest to cardiology and internal medicine residents and fellows.