Werdan, K., Baldus, S., Frey, N., Nixdorff, U., Kuck, K. -H. and Katus, H. (2017). Choosing wisely recommendations in cardiology. Internist, 58 (6). S. 556 - 568. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1289
Full text not available from this repository.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.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-229750 | ||||||||||||||||||||||||||||
DOI: | 10.1007/s00108-017-0239-7 | ||||||||||||||||||||||||||||
Journal or Publication Title: | Internist | ||||||||||||||||||||||||||||
Volume: | 58 | ||||||||||||||||||||||||||||
Number: | 6 | ||||||||||||||||||||||||||||
Page Range: | S. 556 - 568 | ||||||||||||||||||||||||||||
Date: | 2017 | ||||||||||||||||||||||||||||
Publisher: | SPRINGER HEIDELBERG | ||||||||||||||||||||||||||||
Place of Publication: | HEIDELBERG | ||||||||||||||||||||||||||||
ISSN: | 1432-1289 | ||||||||||||||||||||||||||||
Language: | German | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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Refereed: | Yes | ||||||||||||||||||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/22975 |
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