AHA/ASA guideline recommendations for prevention of stroke in women atrial fibrillation

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Stroke Main page

Patient Information

Overview

Causes

Classification

Hemorrhagic stroke
Ischemic stroke

Differential Diagnosis

Epidemiology and Demographics

Diagnosis

NIH stroke scale
Glasgow coma scale

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]

2014 AHA/ASA Guideline Recommendations for Prevention of Stroke in Women (DO NOT EDIT)[1]

Class I
"1. Risk stratification tools in atrial fibrillation that account for age and sex-specific differences in the incidence of stroke are recommended. (Level of Evidence: A) "
"2. Considering the increased prevalence of AF with age and the higher risk of stroke in elderly women with AF, active screening (in particular of women >75 years of age) in primary care settings using pulse taking followed by an ECG as appropriate is recommended. (Level of Evidence: B) "
"3. New oral anticoagulants are a useful alternative to warfarin for the prevention of stroke and systemic thromboembolism in women with paroxysmal or permanent AF and prespecified risk factors (according to CHA2DS2-VASc) who do not have a prosthetic heart valve or hemodynamically significant valve disease, severe renal failure (creatinine clearance 15 mL/min), lower weight (<50 kg), or advanced liver disease (impaired baseline clotting function). (Level of Evidence: A) "
Class III (No Benefit)
" Oral anticoagulation in women aged ≤65 years with AF alone (no other risk factors; women with CHADS2=0 or CHA2DS2-VASc=1) is not recommended. (Level of Evidence: B) "
Class IIa
" Antiplatelet therapy is a reasonable therapeutic option for selected low-risk women aged ≤65 years with AF alone (no other risk factors; women with CHADS2=0 or CHA2DS2-VASc=1). (Level of Evidence: B) "

References

  1. Bushnell C, McCullough LD, Awad IA, Chireau MV, Fedder WN, Furie KL; et al. (2014). "Guidelines for the Prevention of Stroke in Women: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association.". Stroke. PMID 24503673. doi:10.1161/01.str.0000442009.06663.48. 


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