Improving Stroke Prevention in Patients With Atrial Fibrillation

Acknowledgement

Disclosures

Disclosures (cont.)

• This presentation will not include any non-FDA approved or investigational uses of products or medical devices.

Learning Objectives

Atrial Fibrillation (AF): Incidence and Consequences

Projected Number of Persons With AF in the US: 2000 to 2050

AF and Stroke

Greater Risk of Death and Recurrence With AF Strokes

Disability vs Age Group in Those With Acute Ischemic Stroke (AIS) vs AF-AIS

Anticoagulation: Assessing Benefits and Risks

Question

Case 1

CHADS2 Index: A Validated Classification Scheme/Tool for Stroke Risk

Weakness of CHADS2

The CHA2DS2-VASc Index

CHA2DS2-VASc vs CHADS2: Which to Use?

Case 2

ACC/AHA/ESC Guidelines

Risk Stratification and Anticoagulation

Underuse of Anticoagulants in AF

Barriers to Anticoagulant Use

Barriers to Anticoagulation?

Bleeding Risk

Bleeding Risk: The Reality

Anticoagulation in Patients at Risk of Falls: “Physicians’ Fears Are Often Unfounded”

Assessing Bleeding Risk: HAS-BLED

Reducing Bleeding Risk

Anticoagulation Decision Support Worksheet

Anticoagulation Decision Support Worksheet (cont.)

The Patient: Decision Making and Education

Patient Preferences

Patient vs Physician Perspectives on Anticoagulation

Explaining Risk to Patients: Numerous Tools Available

Patient Knowledge About Warfarin

Patient Adherence to Warfarin

Risk Factors for Warfarin Nonadherence

Improving Patient Adherence to Anticoagulants

Which Antithrombotic Therapy?

Generic/Trade Name Guide for Drugs Mentioned in Presentation

Features of Available Anticoagulants

Warfarin and Novel Anticoagulant Mechanisms of Action

Choosing an Anticoagulant

Question Check

Clopidogrel and/or Aspirin?

ACC/AHA/ESC Guidelines: Warfarin vs Aspirin

Warfarin: The Gold Standard

Currently Available Oral Anticoagulants

Clinical Trial Data

Limitations/Concerns With Available Anticoagulants

Visit TEAManticoag.com for a Medication Chart (Keyword: chart)

ACC/AHA/ESC Guidelines: Managing Through Medical Procedures

to Prevent Thrombosis

Drug-Specific Guidelines for Managing Through Medical Procedures

When to Switch From Warfarin

Remain With Warfarin if …

Switching From Warfarin: How?

Visit TEAManticoag.com for Tools, Handouts, Calculators, and More

Periprocedural Anticoagulation Algorithm on TEAManticoag.com (Keyword: periprocedural)

Decision Tool to Use With Patients on TEAManticoag.com (Keyword: decision)

TEAM-A Town Hall on TEAManticoag.com