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Revista argentina de cardiología
On-line version ISSN 1850-3748
Abstract
PASTORE, FRANCISCO A et al. Anticoagulant treatment of atrial fibrillation: uses and habits of cardiologists. Rev. argent. cardiol. [online]. 2019, vol.87, n.5, pp.383-387. Epub Sep 01, 2019. ISSN 1850-3748. http://dx.doi.org/10.7775/rac.es.v87.i5.14612.
Introduction:
The anticoagulant treatment (ACOT) is one of the pillars in the prevention of stroke.
Objectives:
To know the habits of initiation of ACOT, difficulties in its continuity, incorporation of new anticoagulants (NOA), and analyze medical behaviors.
Material and Methods:
Survey closed to 107 cardiologists.
Results:
At the beginning of ACOT, 52.3% cardiologists adopted a decision with the patient, several inconveniences were recognized for its continuity, and 85% chose the economic cost as a difficulty to incorporate NOA. In High risk and AF of uncertain time: 83.2% cardiologists chose ACOT and frequency control. In Low risk with paroxysmal AF: 54.2% opted for follow-up. In High risk embolism and bleeding: 75.7% decided ACOT.
Conclusions:
A tendency to involve the patient at the beginning of ACOT, and multiple difficulties to sustain it was observed. The use of NAO is conditioned by economic cost. The medical behaviors were consistent with the guidelines.
Keywords : Atrial fibrillation; Anticoagulants/therapeutic use; Cardiology; Life Style.