Atrial septal defect medical therapy: Difference between revisions
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{{ | {{Atrial septal defect}} | ||
{{CMG}} | {{CMG}}; Claudia Hochberg, M.D. | ||
'''Associate Editors-In-Chief:''' {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]] | |||
'''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]] | |||
==Overview== | |||
There is no industry-standard for utilizing medical therapy in atrial septal defect patients. Medical therapy is often used to manage comorbidity complexes associated with atrial septal defect such as [[stroke]] and [[migraine]]. | |||
==Medical therapy== | ==Medical therapy== | ||
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[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Mature chapter]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 18:09, 26 July 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Claudia Hochberg, M.D.
Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]; Priyamvada Singh, MBBS [[4]]
Assistant Editor-In-Chief: Kristin Feeney, B.S. [[5]]
Overview
There is no industry-standard for utilizing medical therapy in atrial septal defect patients. Medical therapy is often used to manage comorbidity complexes associated with atrial septal defect such as stroke and migraine.
Medical therapy
There are no widely-used guidelines for medical therapy usage in patients with atrial septal defects. Medical therapy can be used, however, to manage conditions associated with atrial septal defects.
Medical therapy for stroke
Researchers have investigated the justification for aspirin therapy in patients with atrial septal defects, such as Patent foramen ovale (PFO), who have had stroke or a transient ischemic attack.[1]
Aspirin therapy was observed to have an effective role in reducing the incidence of recurrent stroke after four years.[1] Another pharmacologic intervention study also indicated a supportive stance on utilizing pharmacologic therapies to reduce the risk of stroke. This study observed that aspirin therapy and warfarin therapy was effective [2] The AHA guidelines support the utilization of sustained warfarin therapy in high-risk atrial septal defect patients. [3] American College of Chest Physicians recommends utilizing antiplatelet therapy for some patent foramen ovale patients.[4] Anticoagulation therapy for patent foramen ovale patients, specifically ones with pulmonary embolus or deep vein thrombosis.
Medical therapy for migraines
References
- ↑ 1.0 1.1 Mas JL, Arquizan C, Lamy C, Zuber M, Cabanes L, Derumeaux G; et al. (2001). "Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both". N Engl J Med. 345 (24): 1740–6. doi:10.1056/NEJMoa011503. PMID 11742048.
- ↑ Homma S, Sacco RL, Di Tullio MR, Sciacca RR, Mohr JP, PFO in Cryptogenic Stroke Study (PICSS) Investigators (2002). "Effect of medical treatment in stroke patients with patent foramen ovale: patent foramen ovale in Cryptogenic Stroke Study". Circulation. 105 (22): 2625–31. PMID 12045168.
- ↑ Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC; et al. (2011). "Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association". Stroke. 42 (1): 227–76. doi:10.1161/STR.0b013e3181f7d043. PMID 20966421.
- ↑ Albers GW, Amarenco P, Easton JD, Sacco RL, Teal P, American College of Chest Physicians (2008). "Antithrombotic and thrombolytic therapy for ischemic stroke: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)". Chest. 133 (6 Suppl): 630S–669S. doi:10.1378/chest.08-0720. PMID 18574275.