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Finally an alternative to Warfarin for patients with Atrial Fibrillation

August 31, 2009

Analysis of:New Blood Thinner Matches Warfarin | online.wsj.com

1) Dabigatran, a new drug from Boehringer Ingleheim GmbH, is found to be as effective as warfarin in preventing stoke.2) This will likely change the way medicine is practiced once the drug is approved by the FDA

Do Patients Finally have an Alternative to Anticoagulation for Afib?

April 5, 2009

Analysis of:ACC: Device May Prevent Stroke in AF Patients | www.medpagetoday.com

1) Certain patient groups now have an option for non medical protection from thromboembolic events in afib; however patients most likely to benefit were not included in the trial. 2) Despite the success in noninferiority compared to warfarin, the device did have a twofold increase in periprocedural complications. 3) The most likely group of physicians to implant this device will be invasive electrophysiologists who perform afib ablation because of their vast experience with transeptal technique and knowledge of left atrial anatomy.

A 3-tiered healthcare system

August 9, 2007

Analysis of:MDs offer new services, for $3,600 yearly fee | www.boston.com

1) Healthcare in America is becoming a 3 tiered system the insured, the uninsured and the insured "plus" 2) Most definitive care in the US is performed by specialists 3) NPs and PAs can perform the role of PCP for most patients.

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