By Edited by Andrew D. Blann Edited by Gregory Y. H. Lip

ISBN-10: 0727917714

ISBN-13: 9780727917713

Urban clinic, Birmingham, united kingdom. Discusses the reasons and effects of blood clots, how antithrombotic treatment works and its makes use of for sufferers. Addresses bleeding dangers, venous thromboembolism, atrial traumatic inflammation, peripheral vascular illness, middle failure, and anticoagulation. considerable halftone and colour illustrations. Softcover.

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Although no randomised trials have specifically addressed the issue, there is evidence that cardioversion may be safely performed without anticoagulation if the arrhythmia has been present for < 48 hours. However, in one series intra-atrial thrombus was detected by transoesophageal echocardiography in about 15% of patients presenting with acute atrial fibrillation (apparent duration < 48 hours), raising the possibility that the development of intra-atrial thrombus may be faster than previously suspected, or that in many apparent cases of acute atrial fibrillation the arrhythmia developed asymptomatically > 48 hours before.

0) Bioprosthetic valves In sinus rhythm: Aortic Mitral In atrial fibrillation: Aortic Mitral AHA = American Heart Association; ACC = American College of Cardiology; ACCP = American College of Chest Physicians 33 ABC of Antithrombotic Therapy Pregnancy In pregnant women with prosthetic valves, the incidence of thromboembolic complications is increased. Hence, adequate antithrombotic therapy is particularly important. Warfarin use in the first trimester of pregnancy is associated with a substantical risk of embryopathy and fetal death, and so warfarin should be stopped when a patient is trying to become pregnant or when pregnancy is detected.

Antithrombotic therapy in peripheral arterial occlusive disease. Chest 2001;119:293-9S + CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). Lancet 1996;348:1329-39 + Antiplatelet Trialists’ Collaboration. Collaborative overview of randomised trials of antiplatelet therapy I: prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. BMJ 1994;308:81-106 + Antiplatelet Trialists’ Collaboration.

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ABC of Antithrombotic Therapy by Edited by Andrew D. Blann Edited by Gregory Y. H. Lip


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