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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 />

Question 1<br />

What are the major advantages of<br />

Dabigatran over Warfarin?<br />

1. It’s low price<br />

2. It is easier to reverse in the event of serious<br />

bleeding<br />

3. Compared with warfarin, it is associated with a<br />

lower risk of <strong>stroke</strong> in those with non-valvular<br />

<strong>atrial</strong> <strong>fibrillation</strong><br />

4. The dose of dabigatran does not need to be<br />

adjusted for impaired renal function<br />

5. It is easy to check the adequacy of its<br />

antithrombotic effect<br />

Question 2<br />

What is the annual risk of <strong>stroke</strong> in a 72 year<br />

old man with hypertension <strong>and</strong> diabetes using<br />

the CHADS 2 scoring system<br />

1) Annual <strong>stroke</strong> risk is about 1-3%<br />

2) Annual <strong>stroke</strong> risk is about 3-5%<br />

3) Annual <strong>stroke</strong> risk is about 8-11%<br />

4) Annual <strong>stroke</strong> risk is about 13-18%<br />

5) I am not sure what the CHADS2 scoring<br />

system is?<br />

Jan Basile, MD<br />

Atrial Fibrillation & Stroke Prevention

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