Source:http://linkedlifedata.com/resource/pubmed/id/16516596
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions |
umls-concept:C0001554,
umls-concept:C0002458,
umls-concept:C0007189,
umls-concept:C0029921,
umls-concept:C0030705,
umls-concept:C0162791,
umls-concept:C0184252,
umls-concept:C0184661,
umls-concept:C0439608,
umls-concept:C0443254,
umls-concept:C0557806,
umls-concept:C1273870,
umls-concept:C1510802,
umls-concept:C2917212
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| pubmed:issue |
6
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| pubmed:dateCreated |
2006-3-6
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| pubmed:abstractText |
This study sought to establish the practice patterns of a diverse group of academic physicians, in the management of periprocedural anticoagulation for patients with mechanical heart valves, to study adherence to American College of Cardiology/American Heart Association (ACC/AHA) guidelines. Physicians (n = 140) were surveyed to assess strategies for the periprocedural anticoagulation of patients with bileaflet mechanical heart valves undergoing 2 common outpatient procedures. Six patient scenarios with graded risk profiles were presented for each valve location (mitral and aortic). In >90% of high-risk patient scenarios, for which the ACC/AHA guidelines recommend periprocedural anticoagulation, anticoagulation was recommended, with minimal differences between physician specialties. However, periprocedural anticoagulation was also recommended in >70% of non-high-risk scenarios, for which the ACC/AHA guidelines recommend no periprocedural anticoagulation. Noncardiologists recommended anticoagulation more often in non-high-risk patients (p <0.01), especially for patients with aortic valve prostheses. Thus, academic physicians appropriately recommend periprocedural anticoagulation for high-risk patients with mechanical heart valves who undergo elective procedures. However, these data specifically suggest variability in practice for non-high-risk patients that are discordant with current ACC/AHA guidelines, with differences by treating specialty especially notable in this risk subset.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
AIM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:month |
Mar
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| pubmed:issn |
0002-9149
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:day |
15
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| pubmed:volume |
97
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
891-3
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:16516596-Ambulatory Surgical Procedures,
pubmed-meshheading:16516596-Anticoagulants,
pubmed-meshheading:16516596-Aortic Valve,
pubmed-meshheading:16516596-Biopsy,
pubmed-meshheading:16516596-Cardiology,
pubmed-meshheading:16516596-Colon,
pubmed-meshheading:16516596-Colonoscopy,
pubmed-meshheading:16516596-Guideline Adherence,
pubmed-meshheading:16516596-Heart Valve Prosthesis,
pubmed-meshheading:16516596-Heparin,
pubmed-meshheading:16516596-Heparin, Low-Molecular-Weight,
pubmed-meshheading:16516596-Humans,
pubmed-meshheading:16516596-Mitral Valve,
pubmed-meshheading:16516596-Physician's Practice Patterns,
pubmed-meshheading:16516596-Practice Guidelines as Topic,
pubmed-meshheading:16516596-Premedication,
pubmed-meshheading:16516596-Questionnaires,
pubmed-meshheading:16516596-Surgical Procedures, Elective,
pubmed-meshheading:16516596-Thromboembolism,
pubmed-meshheading:16516596-Tooth Extraction
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| pubmed:year |
2006
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| pubmed:articleTitle |
Adherence to American College of Cardiology/American Heart Association guidelines for the management of anticoagulation in patients with mechanical valves undergoing elective outpatient procedures.
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| pubmed:affiliation |
Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. akirtane@bidmc.harvard.edu
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| pubmed:publicationType |
Journal Article
|