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Role of Biological Markers for Cerebral Bleeding Risk STRATification in Patients with Atrial Fibrillation on Oral Anticoagulants for Primary or Secondary Prevention of Ischemic Stroke (Strat-AF Study): Study Design and Methodology
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Management of Direct Oral Anticoagulants in Patients with Atrial Fibrillation Undergoing Cardioversion

Division of Cardiology, University Hospital “P. Giaccone”, University of Palermo, Via del Vespro 129, p.c. 90127 Palermo, Italy
Author to whom correspondence should be addressed.
Medicina 2019, 55(10), 660;
Received: 20 June 2019 / Revised: 23 September 2019 / Accepted: 24 September 2019 / Published: 30 September 2019
(This article belongs to the Special Issue Stroke, Dementia and Atrial Fibrillation)
Atrial fibrillation the most common cardiac arrhythmia. Its incidence rises steadily with each decade, becoming a real “epidemic phenomenon”. Cardioversion is defined as a rhythm control strategy which, if successful, restores normal sinus rhythm. This, whether obtained with synchronized shock or with drugs, involves a periprocedural risk of stroke and systemic embolism which is reduced by adequate anticoagulant therapy in the weeks before or by the exclusion of left atrial thrombi. Direct oral anticoagulants are safe, manageable, and provide rapid onset of oral anticoagulation; they are an important alternative to heparin/warfarin from all points of view, with a considerable reduction in bleedings and increase in the safety and quality of life of patients. View Full-Text
Keywords: direct oral anticoagulants (DOACs); atrial fibrillation (AF); electrical cardioversion (EC) direct oral anticoagulants (DOACs); atrial fibrillation (AF); electrical cardioversion (EC)
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Coppola, G.; Manno, G.; Mignano, A.; Luparelli, M.; Zarcone, A.; Novo, G.; Corrado, E. Management of Direct Oral Anticoagulants in Patients with Atrial Fibrillation Undergoing Cardioversion. Medicina 2019, 55, 660.

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