“Novel Clinical Concepts in Thrombosis”: Integrated Care for Stroke Management—Easy as ABC

Key Points Question Is smoking cessation in patients with newly diagnosed atrial fibrillation (AF) associated with a lower risk of incident dementia? Findings In a cohort study of 126 252 patients with new-onset AF in South Korea, smoking cessation after an AF diagnosis was associated with a significantly lower risk of dementia than that of patients who were current smokers. Meaning These findings suggest that smoking cessation could be more proactively promoted in patients with newly diagnosed AF to reduce the burden of AF-related dementia.

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“…These findings support the increasing move toward holistic care for AF, stroke, and other cardiovascular diseases. 44 , 45 …”

Section: Discussionmentioning

confidence: 99%

Risk of Dementia After Smoking Cessation in Patients With Newly Diagnosed Atrial Fibrillation

Lee

Choi

et al. 2022

JAMA Netw Open

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“…A post-stroke ABC pathway as a more holistic approach to integrated stroke care would include three pillars of management ( Graphical Abstract 19 ):…”

Section: Integrated Care For Stroke—why Do We Need This Peri- and Pos...mentioning

confidence: 99%

“…This approach expands on a clinical concept proposed in 2021 as ‘integrated care for stroke medicine—easy as ABC’. 19 …”

Section: Integrated Care For Stroke—why Do We Need This Peri- and Pos...mentioning

confidence: 99%

Integrated care for optimizing the management of stroke and associated heart disease: a position paper of the European Society of Cardiology Council on Stroke

Lip

Boriani

Doehner

et al. 2022

European Heart Journal

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The management of patients with stroke is often multidisciplinary, involving various specialties and healthcare professionals. Given the common shared risk factors for stroke and cardiovascular disease, input may also be required from the cardiovascular teams, as well as patient caregivers and next-of-kin. Ultimately, the patient is central to all this, requiring a coordinated and uniform approach to the priorities of post-stroke management, which can be consistently implemented by different multidisciplinary healthcare professionals, as part of the patient ‘journey’ or ‘patient pathway,’ supported by appropriate education and tele-medicine approaches. All these aspects would ultimately aid delivery of care and improve patient (and caregiver) engagement and empowerment. Given the need to address the multidisciplinary approach to holistic or integrated care of patients with heart disease and stroke, the European Society of Cardiology Council on Stroke convened a Task Force, with the remit to propose a consensus on Integrated care management for optimizing the management of stroke and associated heart disease. The present position paper summarizes the available evidence and proposes consensus statements that may help to define evidence gaps and simple practical approaches to assist in everyday clinical practice. A post-stroke ABC pathway is proposed, as a more holistic approach to integrated stroke care, would include three pillars of management: • A: Appropriate Antithrombotic therapy. • B: Better functional and psychological status. • C: Cardiovascular risk factors and Comorbidity optimization (including lifestyle changes).

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“…46 Of note the integrated care approach can be applied to other clinical scenarios (e.g., stroke, aortovascular disease) given the need to manage the "whole" patient, and not just one aspect of the patient. 47,48 Before characterization and treatment of AF, it is important to detect the arrhythmia given the potential impact on clinical outcomes. 49,50 Indeed, even asymptomatic AF is not benign, as shown in a nice study of the risk of ischemic stroke in asymptomatic AF patients incidentally detected in primary care.…”

Section: Refining Anticoagulation Managementmentioning

confidence: 99%

Thrombosis and Haemostasis 2021 Editors' Choice Papers

2022

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“Novel Clinical Concepts in Thrombosis”: Integrated Care for Stroke Management—Easy as ABC

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Cited by 39 publications

References 35 publications

Risk of Dementia After Smoking Cessation in Patients With Newly Diagnosed Atrial Fibrillation

Risk of Dementia After Smoking Cessation in Patients With Newly Diagnosed Atrial Fibrillation

Integrated care for optimizing the management of stroke and associated heart disease: a position paper of the European Society of Cardiology Council on Stroke

Thrombosis and Haemostasis 2021 Editors' Choice Papers

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