icemaiden
Forum Elite
Topics: 9
Posts: 117
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All the following are currently accepted indications for anticoagulation therapy EXCEPT:
1)a 64yr old man with only atrial fibrillation at a ventricular rate of 70/min
2)a 30yr old woman with mitral stenosis and atrial fibrillation
3)a 60yr old man with repeted TIA and atrial fibrillation
4)a 60yr old man with hypertension,diabetes and atrial fibrillation
5)a 40yr old woman with dialated cardiomyopathy and atrial fibrillation
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| icemaiden
Forum Elite
Topics: 9
Posts: 117
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i think it is 1.But any other suggestions?(they havent provided an answer)
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| MDcooper
Forum Guru
Topics: 211
Posts: 470
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hmm.I am really not sure but for the sake of discussion I will make a guess.
I will debate on options 3 and 4.I know for sure that thrombolytics are CI in h/o stroke.and also in uncontrolled HTN or DM..But here they have given TIA and only HTN.So I will rule out these two.
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live and let live.
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| icemaiden
Forum Elite
Topics: 9
Posts: 117
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Hey hi,
Thanks for the response. i did some reading and still think 1 is the answer.from what i read,the current recommendations regarding anticoagulation in the treatment of AF are
--Patients younger than 65 years with risk factors receive warfarin therapy with a goal INR of 2-3.
--Patients younger than 65 years with no risk factors receive ASA therapy or no treatment
--Patients older than 65 years receive warfarin therapy with a goal INR of 2-3.
--Patients older than 75 years with no risk factors receive ASA therapy
The risk factors are-prior stroke or transient ischemic attack, diabetes, hypertension, CAD, mitral stenosis, prosthetic valve, CHF, echocardiographic findings of an enlarged left atrium, and global LV dysfunction.
So in choice 1 since the person is <65yrs and has no risk factors,that must be the answer
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