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atrial fibrillation and stroke prevention - Continuing Medical ...

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Essentials in Primary Care Conference<br />

Wednesday, July 31, 2013<br />

Atrial Fibrillation Management:<br />

3 Important Clinical Strategies<br />

STROKE<br />

PREVENTION<br />

Warfarin<br />

Dabigatran<br />

Rivaroxaban<br />

Apixaban<br />

Asa + Clopidogrel<br />

Asa<br />

Atrial Fibrillation:<br />

A Major Contibutor to Stroke in the Elderly<br />

Framingham Study, 30-Year Follow-Up, n=5184 Men + Woman*<br />

Age<br />

Group<br />

Preval<br />

ence<br />

AF<br />

Stroke per<br />

1000 py O<br />

Stroke per<br />

1000 py AF<br />

IDR<br />

Pop.<br />

AR % †<br />

60 - 69 1.8% 4.5 21.2 4.7 8.1<br />

70 - 79 4.7% 9.0 48.9 5.4 21.3<br />

80 - 89 10.2% 14.3 71.4 5.0 36.2<br />

† Pop AR=% of all <strong>stroke</strong>s attributed to <strong>atrial</strong> <strong>fibrillation</strong>;adjusted for BP<br />

* Wolf PA, Abbott RD, Kannel WB. Arch Intern Med 1987;147:1561-1564.<br />

Jan Basile, MD<br />

Atrial Fibrillation & Stroke Prevention

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