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Call me maybe? The right time and place for BPAs in EHRs.

作者信息

Steinberg Benjamin A, Piccini Jonathan P

机构信息

Division of Cardiovascular Medicine, University of Utah Health Sciences Center, Salt Lake City, UT, USA.

Duke Clinical Research Institute, Durham, NC, USA.

出版信息

Eur Heart J. 2020 Mar 7;41(10):1097-1099. doi: 10.1093/eurheartj/ehz526.

DOI:10.1093/eurheartj/ehz526
PMID:31386146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8428947/
Abstract
摘要

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Call me maybe? The right time and place for BPAs in EHRs.或许联系我？电子健康记录中双酚A的合适时机与地点。
Eur Heart J. 2020 Mar 7;41(10):1097-1099. doi: 10.1093/eurheartj/ehz526.
2
Ask the doctor. A few months ago, I was diagnosed with atrial fibrillation. My doctor put me on blood thinners for a few weeks and then performed electrical cardioversion. Naturally, I was asleep during the procedure, but I understand that they shocked me twice and both times my heart briefly returned to a normal rhythm. But after a few seconds it went back into atrial fibrillation. NOw my doctor has offered me a choice. I can stay in atrial fibrillation and take a blood thinner for the rest of my life. Or I can try a medication to restore a normal heart rhythm and give cardioversion another try (but I'll probably have to take the antiarrhythmia drug for a long time). Any suggestions?咨询医生。几个月前，我被诊断出患有房颤。我的医生让我服用了几周的血液稀释剂，然后进行了电复律。自然地，在手术过程中我睡着了，但我知道他们电击了我两次，而且两次我的心脏都短暂地恢复了正常节律。但几秒钟后又回到了房颤状态。现在我的医生给了我一个选择。我可以维持房颤状态并余生都服用血液稀释剂。或者我可以尝试一种药物来恢复正常心律并再次尝试电复律（但我可能需要长期服用抗心律失常药物）。有什么建议吗？
Harv Heart Lett. 2001 Jul;11(11):8.
3
[Non valvular atrial fibrillation: the place of the new anticoagulants].[非瓣膜性心房颤动：新型抗凝剂的地位]
Rev Med Brux. 2015 Sep;36(4):365-72.
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Ask the doctor. I am 86 and have atrial fibrillation. I started taking warfarin to avoid blood clots, but right away developed a very high bleeding time and needed to be hospitalized. I don't want to go through that again. Is there another approach for me?问问医生。我86岁，患有房颤。我开始服用华法林以避免血栓形成，但马上就出现了出血时间极长的情况，还需要住院治疗。我不想再经历那样的事了。对我来说有其他办法吗？
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J Am Coll Cardiol. 2019 Mar 12;73(9):1105. doi: 10.1016/j.jacc.2018.11.057.
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Oral anticoagulant use around the time of atrial fibrillation ablation: a review of the current evidence of individual oral anticoagulant use for periprocedural atrial fibrillation ablation thromboembolic prophylaxis.心房颤动消融术前后口服抗凝药的使用：关于围手术期心房颤动消融术预防血栓栓塞的个体口服抗凝药使用的当前证据综述
J Cardiovasc Electrophysiol. 2014 Dec;25(12):1411-8. doi: 10.1111/jce.12546. Epub 2014 Oct 10.

本文引用的文献

1
Alert-based computerized decision support for high-risk hospitalized patients with atrial fibrillation not prescribed anticoagulation: a randomized, controlled trial (AF-ALERT).针对未接受抗凝治疗的高危住院房颤患者的基于警报的计算机化决策支持：一项随机对照试验（AF-ALERT）
Eur Heart J. 2020 Mar 7;41(10):1086-1096. doi: 10.1093/eurheartj/ehz385.
2
Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations.运用时间动作观察评估第一年内科住院医师的住院时间分配。
JAMA Intern Med. 2019 Jun 1;179(6):760-767. doi: 10.1001/jamainternmed.2019.0095.
3
Evaluation of Mortality Data From the Social Security Administration Death Master File for Clinical Research.利用社会安全管理局死亡主档案评估临床研究中的死亡率数据。
JAMA Cardiol. 2019 Apr 1;4(4):375-379. doi: 10.1001/jamacardio.2019.0198.
4
Initiation, Continuation, Switching, and Withdrawal of Heart Failure Medical Therapies During Hospitalization.心力衰竭住院期间的起始、持续、转换和停药。
JACC Heart Fail. 2019 Jan;7(1):1-12. doi: 10.1016/j.jchf.2018.06.011. Epub 2018 Nov 7.
5
SUPPORT-AF: Piloting a Multi-Faceted, Electronic Medical Record-Based Intervention to Improve Prescription of Anticoagulation.SUPPORT-AF：试点多方面、基于电子病历的干预措施以改善抗凝药物处方
J Am Heart Assoc. 2018 Sep 4;7(17):e009946. doi: 10.1161/JAHA.118.009946.
6
Effectiveness of CHADS-VASc based decision support on stroke prevention in atrial fibrillation: A cluster randomised trial in general practice.基于 CHADS-VASc 的决策支持对房颤卒中预防的有效性：一项普通实践中的聚类随机试验。
Int J Cardiol. 2018 Dec 15;273:123-129. doi: 10.1016/j.ijcard.2018.08.096. Epub 2018 Sep 8.
7
International trends in clinical characteristics and oral anticoagulation treatment for patients with atrial fibrillation: Results from the GARFIELD-AF, ORBIT-AF I, and ORBIT-AF II registries.心房颤动患者临床特征及口服抗凝治疗的国际趋势：来自GARFIELD-AF、ORBIT-AF I和ORBIT-AF II注册研究的结果。
Am Heart J. 2017 Dec;194:132-140. doi: 10.1016/j.ahj.2017.08.011. Epub 2017 Aug 24.
8
Electronic Alert System for Improving Stroke Prevention Among Hospitalized Oral-Anticoagulation-Naïve Patients With Atrial Fibrillation: A Randomized Trial.用于改善住院的初治口服抗凝剂心房颤动患者卒中预防的电子警报系统：一项随机试验
J Am Heart Assoc. 2016 Jul 22;5(7):e003776. doi: 10.1161/JAHA.116.003776.
9
Contraindications to anticoagulation therapy and eligibility for novel anticoagulants in older patients with atrial fibrillation.老年房颤患者抗凝治疗的禁忌证及新型抗凝剂的适用情况
Cardiovasc Ther. 2015 Aug;33(4):177-83. doi: 10.1111/1755-5922.12129.
10
Physician practices regarding contraindications to oral anticoagulation in atrial fibrillation: findings from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry.医生在心房颤动中关于口服抗凝禁忌的实践：来自 Outcomes Registry for Better Informed Treatment of Atrial Fibrillation（ORBIT-AF）登记研究的结果。
Am Heart J. 2014 Apr;167(4):601-609.e1. doi: 10.1016/j.ahj.2013.12.014. Epub 2014 Jan 4.