Stroke Prevention in Atrial Fibrillation and Management of the Left Atrial Appendage | Stroke Mimics

Target Audience

Primary care physicians, family physicians, general internists, emergency medicine physicians, cardiologists, hospitalists, nurses, advanced practice providers, pharmacists, pharmacy technicians, occupational therapists, advanced practice registered nurses and emergency medical technicians. 

Learning Objectives

  • Explain the epidemiology of atrial fibrillation and risk of stroke.
  • Describe LAA anatomy.
  • Discuss surgical and percutaneous approaches to LAAO. 
  • Discuss the current guidelines for LAAO.
  • Explain anticoagulation management in the atrial fibrillation patient.
  • Identify two stroke mimics and discuss methods to distinguish them from a stroke.
  • State the risk of intracerebral hemorrhage in stroke mimics that receive thrombolytic therapy.
Additional information
Bibliography: 
  • Lee, R. J., & Hanke, T. (2022). The Strengths and Weaknesses of Left Atrial Appendage Ligation or Exclusion (LARIAT, AtriaClip, Surgical Suture). Interventional Cardiology Clinics, 11(2), 205-217. 
  • Prasad, R. M., Saleh, Y., & Al-Abcha, A. (2022). Letter to the editor regarding left atrial appendage closure during cardiac surgery for atrial fibrillation: A meta-analysis. Cardiovascular revascularization medicine: including molecular interventions. 
  • Antipova, D., Eadie, L., Macaden, A., & Wilson, P. (2019). Diagnostic accuracy of clinical tools for assessment of acute stroke: a systematic review. BMC emergency medicine, 19(1), 49. 
  • Anathhanam, S., & Hassan, A. (2017). Mimics and chameleons in stroke. Clinical medicine (London, England), 17(2), 156–160.
Course Summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Occupational Therapy
  • 1.25 Florida Board of Pharmacy
Course opens: 
01/01/2023
Course expires: 
12/31/2025

Alison Ward, M.D.
Chief of Cardiothoracic Surgery 
Grady Memorial Hospital
Assistant Professor of Cardiothoracic Surgery 
Emory University

Gautam Kumar, MBBS, MRCP(UK), FACC, FASE, FSCAI
Associate Professor of Medicine
Emory University
Adjunct Faculty, Biomedical Engineering
Georgia Institute of Technology
Interventional Cardiologist and Director, Echocardiography Laboratory
Atlanta VA Medical Center
Emory University Hospital Midtown
Grady Memorial Hospital
Atlanta, Georgia

Adrian Rodriguez-Hernandez, M.D.
Resident Neurologist
Florida Atlantic University
Boca Raton, Florida

Alison Ward, M.D., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Gautam Kumar, MBBS, MRCP(UK), FACC, FASE, FSCAI, faculty for this educational activity, is a consultant with Cordis and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

All of the relevant financial relationships listed for this individual have been mitigated.

Adrian Rodriguez-Hernandez, M.D., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Khalid Hanafy, M.D., Ph.D., and Kendra Kent, M.S., R.N., conference directors for this educational activity, have no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™
  • 1.25 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Occupational Therapy
  • 1.25 Florida Board of Pharmacy
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