2012.08.01 16:05
Atrial Fibrillation / Brian F. Mandell, MD, PhD Atrial fibrillation(AF) is the most common arrhythmia requiring the attention of internists and cardiologists. .... An excerpt from the editorial, Clevenland Clinic Journal of Medicine, |
2012.08.01 16:25
2012.08.02 00:38
2012.08.02 01:05
2012.08.02 14:23
In my days, getting pro time was a big headache.
I hope they found some easier way of getting it.
Atrial fibrillation을 걱정해야 될 Age의 무대에 드디어 우리가 출연하게 되는군요 !!
거... 참... 남의 일이 아니네.
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Atrial fibrillation accounts for some 60 % of all strokes in United States.
We now have two new anticoagulants(brand names are Pradaxa and Xarelto) which do not require
blood tests to measure the INR or prothrombin time, which is very convenient.
However, their post-marketing experience has not convinced internists and cardiologists to routinely
consider switching warfarin to one of the two because of some concern of increased incidence of major
GI bleed in the case of pradaxa and concern of rebound increased incidence of stroke in the case of
Xarelto if the drug has to be stopped temporarily for one reason or another.
I recently had a patient who suffered a major stroke and died 48 hours later after Xarelto was stopped
because of unexpected hemoptysis from bronchiectasis.
Coumadin was changed to Xarelto by another cardiologist while he was hospitalized.
He had been on coumadin for AF for a number of years without experiencing stroke.
The point is that practicing internists and cardiologists need to be very careful on this matter.