医学
心房颤动
指南
背景(考古学)
重症监护医学
心房颤动的处理
冲程(发动机)
心理干预
心脏病学
病理
精神科
生物
机械工程
古生物学
工程类
作者
F Wyss,Vivencio Barrios,Máxima Méndez,Samuel Ramos,Ángel González,Héctor Ortiz,Marco N. Diaz,Gabriela Castillo,Daniel Quesada,Carlos Enrique Franco,Jaime Ventura,ez Leticia Rodríguez López,Francisco Javier Elola Somoza,A. Montealegre,Daniel Meneses,Daniel Pichel,Osiris Valdez
摘要
Atrial fibrillation (AF) is the most common arrhythmia in adults. Prevention of the ischaemic risk with oral anticoagulants (OACs) is widely recommended, and current clinical guidelines recommend direct oral anticoagulants (DOACs) as preference therapy for stroke prevention. However, there are currently no clinical practice guidelines or recommendation documents on the optimal management of OACs in patients with AF that specifically address and adapt to the Central American and Caribbean context. The aim of this Delphi-like study is to respond to doubts that may arise in the management of OACs in patients with non-valvular AF in this geographical area. A consensus project was performed on the basis of a systematic review of the literature, a recommended ADOLOPMENT-like approach, and the application of a two-round Delphi survey. In the first round, 31 recommendations were evaluated and 30 reached consensus, of which, 10 unanimously agreed. The study assessed expert opinions in a wide variety of contextualized recommendations for the optimal management of DOACs in patients with non-valvular atrial fibrillation (NVAF). There is a broad consensus on the clinical practice guideline (CPG) statements used related to anticoagulation indication, patient follow-up, anticoagulation therapy complications, COVID-19 management and prevention, and cardiac interventions.
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