1,721,208 research outputs found

    Antithrombotic therapy for patients with atrial fibrillation and atherothrombotic vascular disease: striking the right balance between efficacy and safety

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    Atrial fibrillation (AF), the most prevalent cardiac arrhythmia, is estimated to affect 1.5% to 2.0% of the general population, that is, at least 100 million people worldwide.1 Left untreated, patients with nonvalvular AF (NVAF) are exposed to an annual risk of thromboembolic stroke of ≈5%, resulting in 5 million AF-related strokes each year.1 Properly dosed anticoagulation (eg, warfarin adjusted to an international normalized ratio of 2.0–3.0) is extremely effective in preventing AF-related strokes, reducing risk by two thirds compared with no therapy and by one-half compared with aspirin.1 In contrast, aspirin alone achieves a 21% relative reduction in risk of nonfatal stroke compared with no treatment, and aspirin plus clopidogrel yields an additional 11% reduction compared with aspirin alone.1 Thus, anticoagulation is the unchallenged current treatment of choice for patients with NVAF at moderate to high risk of thromboembolic complications

    Women and coronary disease

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    The unstable plaque: a broken balance

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    Role of PAPP-A in atherothrombosis: messages to take home

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    Stakeholders in NOACs prescription: Authors' reply

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    The strengths and frailties of women with cardiovascular disease

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    Shakespeare and popular belief have tended to reinforce the view that females are weak. Scientific methodology applied to the field of cardiovascular disease suggests, to the contrary, that women are strong and enduring. Compared to males, females live at least 4 years longer, develop ischemic heart disease about 10 years later, require more risk factors before manifesting heart disease5, are less subject to sudden cardiac death6, and appear to have a more favorable outcome after the onset of heart failure
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