Short-term and long-term success of electrical cardioversion in atrial fibrillation in managed care system

Patients with myocardial infarction (MI) and atrial fibrillation (AF), the number of which is progressively increasing every year, make up a high-risk group for both recurrent cardiovascular events and bleeding; they require special attention from clinicians. The literature review provides data on features of pathogenesis and clinical manifestations of MI in patients with AF. The analysis of data on AF effect observational studies on short-term and long-term prognosis in patients with myocardial infarction was carried out. Mechanisms of occurrence, clinical features and prognostic value of postinfarction AF are considered. From the standpoint of modern clinical guidelines, information is presented on features of MI invasive treatment in combination with AF. Algorithms of anticoagulant and antiarrhythmic therapy in patients of this category are considered.

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The choice of an oral anticoagulant

Drug and Therapeutics Bulletin ◽

10.1136/dtb.10.7.25 ◽

1972 ◽

Vol 10 (7) ◽

pp. 25-28 ◽

Cited By ~ 1

Keyword(s):

Myocardial Infarction ◽

Atrial Fibrillation ◽

Anticoagulant Therapy ◽

Cerebral Ischaemia ◽

Oral Anticoagulant ◽

Short Term ◽

Prevention And Treatment ◽

Transient Cerebral Ischaemia

Some of the indications for anticoagulant therapy remain controversial, but they are widely used for the prevention and treatment of thrombosis and embolism after surgery1 and after myocardial infarction,2 in patients with atrial fibrillation, and in those with transient cerebral ischaemia.3 This article discusses the drugs available for long-term use. Those suitable for immediate and short-term use, heparin and arvin, will be discussed in the next issue.

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The HAS-BLED score predicts long-term major bleeding and death in anticoagulated non-valvular atrial fibrillation patients undergoing electrical cardioversion

International Journal of Cardiology ◽

10.1016/j.ijcard.2016.04.167 ◽

2016 ◽

Vol 217 ◽

pp. 42-48 ◽

Cited By ~ 3

Author(s):

Amaya García-Fernández ◽

Francisco Marín ◽

Vanessa Roldán ◽

Emilio Galcerá-Jornet ◽

Juan Gabriel Martínez-Martínez ◽

...

Keyword(s):

Atrial Fibrillation ◽

Major Bleeding ◽

Electrical Cardioversion

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Managed Care Administrators' Opinion of Vocational Reahbilitation Services

Journal of Applied Rehabilitation Counseling ◽

10.1891/0047-2220.27.1.42 ◽

1996 ◽

Vol 27 (1) ◽

pp. 42-44

Author(s):

Reginald L. Gibbs ◽

John M. Dodd ◽

Anton Hecimovic ◽

Elia Nickoloff

Keyword(s):

Health Care ◽

Managed Care ◽

Vocational Rehabilitation ◽

The United States ◽

Rehabilitation Services ◽

Short Term ◽

Managed Care Programs ◽

Vocational Rehabilitation Services ◽

Managed Care Organizations

Rising health care insurance premiums have forced many businesses and institutions to examine cost-cutting measures to lower health care costs. Managed care is one measure that has become widespread throughout the United States. The problem was to learn how managed care administrators view the role and purpose of vocational rehabilitation services in their organizations and if these services will lower short-term and long-term use. A survey was sent to the administrators of fifty managed care organizations in the states of Arizona, Colorado, Oregon, and Washington. Twenty of the fifty administrators responded to the survey. Results show that only one of the managed care organizations offered vocational rehabilitation services to their enrollees. The results also show that three responded that short-term use and ten responded that long-term use of managed care programs would be reduced if vocational rehabilitation services were offered.

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