Choosing wisely recommendations in cardiology

Der Internist
K WerdanH Katus

Abstract

This article describes controversially discussed Choosing wisely recommendations presented by the German Cardiac Society: anticoagulation therapy in patients with atrial fibrillation and "only" moderate stroke risk, on the one hand, and goal-directed low-density lipoprotein (LDL) cholesterol-lowering, on the other. Presuming an adequate regime, patients with atrial fibrillation and only moderate risk of stroke (CHA2DS2-VASc Score of 1 in men and of 2 in women) also benefit from anticoagulation therapy, even in elderly patients. In patients with coronary heart disease, the German Cardiac Society recommends reducing LDL-cholesterol serum levels with a statin to values lower than 70 mg/dl (1.8 mmol/l) or at least reducing the basal level by 50%. With this recommendation, the German Cardiac Society unequivocally prioritizes the "goal-oriented statin therapy" above the "statin strategy of fixed dose". The reasons for this preference are discussed.

References

Aug 3, 2013·European Heart Journal·Rajiv ChowdhuryOscar H Franco
Nov 29, 2013·The New England Journal of Medicine·John F KeaneyJohn A Jarcho
Jan 24, 2014·The New England Journal of Medicine·Nancy E MordenMeredith B Rosenthal
Jul 26, 2014·Critical Pathways in Cardiology·Arielle S BergerAmy S Kelley
May 20, 2015·JAMA : the Journal of the American Medical Association·Gregory Y H Lip, Deirdre A Lane
Feb 26, 2016·Journal of the American Heart Association·Xiaoxi YaoPeter A Noseworthy
Apr 5, 2016·The New England Journal of Medicine·William C Cushman, David C Goff
Apr 5, 2016·The New England Journal of Medicine·Salim YusufUNKNOWN HOPE-3 Investigators
Oct 23, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Marco ProiettiUNKNOWN REPOSI investigators
Jun 3, 2016·Der Internist·G HasenfußU R Fölsch
Jul 6, 2016·JAMA Internal Medicine·Hilde A M KooistraKarina Meijer
Aug 25, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Manon C Stam-SlobStella Trompet
Aug 28, 2016·European Heart Journal·Alberico L CatapanoUNKNOWN ESC Scientific Document Group
Aug 28, 2016·European Heart Journal·Paulus KirchhofUNKNOWN ESC Scientific Document Group
Sep 28, 2016·JAMA : the Journal of the American Medical Association·Michael G SilvermanMarc S Sabatine
Nov 14, 2016·JAMA : the Journal of the American Medical Association·Roger ChouThomas L Jeanne

❮ Previous
Next ❯

Citations

Jan 24, 2019·Herz·U NixdorffA Schlitt

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

ApoE, Lipids & Cholesterol

Serum cholesterol, triglycerides, apolipoprotein B (APOB)-containing lipoproteins (very low-density lipoprotein (VLDL), immediate-density lipoprotein (IDL), and low-density lipoprotein (LDL), lipoprotein A (LPA)) and the total cholesterol/high-density lipoprotein (HDL) cholesterol ratio are all connected in diseases. Here is the latest research.