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Abstract: . . . there is a lack of evidence, we recommend the same scoring system for all people with AF/AFL. 5. Some of the Framingham cohort were taking aspirin. Therefore the benefit of aspirin applicable to this prediction scheme may be less than the 20% figure derived from other meta-analyses. The risk score should not take the place of clinical judgement or a careful medical examination. A downloadable calculator is available at www.nhlbi.nih.gov/about/framingham/strokecalc.xls Table 2: Benefits and Harms of Treatment with Warfarin Compared to Aspirin Page 20 MAY 2005 Evidence-based Best Practice Guideline The Management of Atrial Fibrillation Flutter and SUMMARY People with 2005 NZGG An electronic copy of the full guideline is available for download from www.nzgg.org.nz or a printed copy is available from info@nzgg.org.nz, phone +64-4-471 4180 or Box 10-665, Wellington, New Zealand. REFERRAL The following summarises the guideline recommendations for referral of people with AF. A. Acute hospitalisation/referral This is required for people with: AF/AFL with haemodynamic compromise, acute dyspnoea, acute heart failure, chest pain, ischaemia, near syncope, hypotension AF/AFL with rapid uncontrolled heart rate, eg, over 140 bpm . . . . . . lack of evidence, we recommend the same scoring system for all people with AF/AFL. 5. Some of the Framingham cohort were taking aspirin. Therefore the benefit of aspirin applicable to this prediction scheme may be less than the 20% figure derived from other meta-analyses. The risk score should not take the place of clinical judgement or a careful medical examination. A downloadable calculator is available at www.nhlbi.nih.gov/about/framingham/strokecalc.xls Table 2: Benefits and Harms of Treatment with Warfarin Compared to Aspirin Page 20 MAY 2005 Evidence-based Best Practice Guideline The Management of Atrial Fibrillation Flutter and SUMMARY People with 2005 NZGG An electronic copy of the full guideline is available for download from www.nzgg.org.nz or a printed copy is available from info@nzgg.org.nz, phone +64-4-471 4180 or Box 10-665, Wellington, New Zealand. REFERRAL The following summarises the guideline recommendations for referral of people with AF. A. Acute hospitalisation/referral This is required for people with: AF/AFL with haemodynamic compromise, acute dyspnoea, acute heart failure, chest pain, ischaemia, near syncope, hypotension AF/AFL with rapid uncontrolled heart rate, eg, over 140 bpm at rest . . . --3000,2,750,3161,50316
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