Subclinical Atrial Fibrillation and Decisions on Anticoagulation

The primary care provider frequently sees patients with signs or symptoms that may indicate cardiovascular pathology. The goal of this lecture is to provide an update and overview of the role of subclinical atrial fibrillation in clinical practice, determine individual risk of bleeding and stroke, and to provide the primary care physician with a sound framework with which to approach patients with atrial fibrillation.  

Target Audience

Primary Care Physicians, Physician Assistants and Advanced Practice Registered Nurses (General). 

Learning Objective

  • Determine individual risk of stroke and bleeding. 
Additional information
Bibliography: 
  • January, C. T., Wann, L. S., Calkins, H., Chen, L. Y., Cigarroa, J. E., Cleveland, J. C., ... & Yancy, C. W. (2019). 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Journal of the American College of Cardiology, 74(1), 104-132.
  • Marrouche, N. F., Brachmann, J., Andresen, D., Siebels, J., Boersma, L., Jordaens, L., ... & Baensch, D. (2018). Catheter ablation for atrial fibrillation with heart failure. New England Journal of Medicine, 378(5), 417-427.
  • Sanna, T., Diener, H. C., Passman, R. S., Di Lazzaro, V., Bernstein, R. A., Morillo, C. A., ... & Brachmann, J. (2014). Cryptogenic stroke and underlying atrial fibrillation. New England Journal of Medicine, 370(26), 2478-2486.
  • Martin, D. T., Bersohn, M. M., Waldo, A. L., Wathen, M. S., Choucair, W. K., Lip, G. Y., ... & Halperin, J. L. (2015). Randomized trial of atrial arrhythmia monitoring to guide anticoagulation in patients with implanted defibrillator and cardiac resynchronization devices. European heart journal, 36(26), 1660-1668.
Course summary
Available credit: 
  • 0.75 ABIM MOC
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
  • 0.75 Nurse Practitioners
Course opens: 
07/01/2021
Course expires: 
04/30/2024

Juan Viles-Gonzalez, M.D., FACC, FAHA, FEHRA, FHRS
Medical Director of Ambulatory Arrhythmia Management and Device Clinic
Baptist Health South Florida
Miami Cardiac & Vascular Institute Cardiology Group

Juan Viles-Gonzalez, M.D., faculty of this education activity, has no relevant financial relationships with ineligible companies* to disclose, and he will not include off-label or unapproved product usage in his presentation or discussion.

Ian Del Conde Pozzi, M.D., FACC, conference director, he has no relevant financial relationships with ineligible companies* to disclose.

Other contributors 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 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with the ACCME, which will in turn report your points to ABIM. Successful completion of a course examination is required to earn ABIM MOC points.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 0.75 ABIM MOC
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
  • 0.75 Nurse Practitioners
Please login or register to take this course.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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