Afib management strategies for primary care

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Takeaway 

  • Family practice doctors can easily access these tables and quick summaries of the latest in medications and decision-making algorithms for treating Afib in specific populations.

Why this matters  

Key results 

  • The article provides a table as a quick guide for using CHA2DS2-VASc to stratify risk in your patient with Afib. 
  • The authors note that “lone Afib” is no longer an entity; the categorization focus is on how long episodes last (eg, paroxysmal vs persistent).
  • Tip: Direct oral anticoagulants (DOACs) better than warfarin (Coumadin) for preventing strokes, all-cause death in nonvalvular Afib.
  • Tip: DOACs are NOT recommended in setting of mechanical heart valves, and some other conditions.
  • Tip: A rate-control approach is appropriate for most patients with Afib; rhythm control might be better for younger patients (<65 y).
  • Tip: Warfarin is only recommended anticoagulant with comorbid end-stage renal disease, valvula...