TITLE

A prediction rule identified patients with atrial fibrillation at low risk for stroke while taking aspirin: COMMENTARY

AUTHOR(S)
Hankey, Graeme J.
PUB. DATE
January 2004
SOURCE
ACP Journal Club;Jan/Feb2004, Vol. 140 Issue 1, p25
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article focuses on a study regarding a clinical prediction rule to identify patients with atrial fibrillation (AF) and a low risk for stroke while taking aspirin, published in the 2003 issue of the journal "Archives of Internal Medicine." The author says that for every 100 patients in the community with nonvalvular AF, about 5 will have a stroke each year. Treating all 100 patients with AF with aspirin would reduce the stroke rate by one fifth to 4%, thus saving 1 stroke per year, but with less risk for bleeding. The study talks about a clinical prediction model that reliably identifies patients with AF who, when taking aspirin, will have an acceptably low risk for stroke. It requires that patients have none of the following 4 clinical features. First, symptomatic cerebrovascular disease, second, symptomatic coronary heart disease, third, diabetes, or fourth, treated hypertension or systolic blood pressure.
ACCESSION #
12104570

 

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