Klug-entscheiden-Empfehlungen in der Kardiologie
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-lowerin...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | German |
| Published: |
June 2017
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| In: |
Der Internist
Year: 2017, Volume: 58, Issue: 6, Pages: 556-567 |
| ISSN: | 1432-1289 |
| DOI: | 10.1007/s00108-017-0239-7 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1007/s00108-017-0239-7 Verlag, Volltext: https://doi.org/10.1007/s00108-017-0239-7 
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| Author Notes: | K. Werdan, S. Baldus, N. Frey, U. Nixdorff, K.-H. Kuck, H. Katus |
| Summary: | 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. |
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| Item Description: | Gesehen am 26.11.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1432-1289 |
| DOI: | 10.1007/s00108-017-0239-7 |