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

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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
Creators:
CreatorsEmailORCIDORCID Put Code
Werdan, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baldus, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Frey, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nixdorff, U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuck, K. -H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Katus, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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
Uncontrolled Keywords:
KeywordsLanguage
ATRIAL-FIBRILLATION; ESC GUIDELINES; RISK; PREVENTION; MANAGEMENT; THERAPY; STROKE; REDUCTION; ADHERENCE; MORTALITYMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/22975

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