Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part G Moving from Evidence to Action
Chapter 21. How to Use a Patient Management Recommendation
Gordon Guyatt, Kameshwar Prasad, Holger Schunemann, Roman Jaeschke, Deborah J. Cook
Clinical Scenario
Topics Discussed:
atrial fibrillation, practice guidelines, treatment recommendations, warfarin
Excerpt:
"You are a primary care practitioner considering the possibility
of warfarin therapy in a 76-year-old woman with congestive heart
failure and chronic atrial fibrillation who has just entered your
practice. Aspirin is the only antithrombotic agent that the patient
has received during the 10 years she has had atrial fibrillation.
Her other medical problems include hypertension, which she has had
since sometime in her fifth decade and for which she has been taking
hydrochlorothiazide and metoprolol, which also serves to control
her heart rate. The patient does not have valvular disease, diabetes,
or other comorbidity, and she does not smoke...."
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