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Am Fam Physician. 2024;110(5):463

What type of anticoagulation is recommended to treat atrial fibrillation?

Patients with atrial fibrillation requiring anticoagulation should be treated with a direct oral anticoagulant to reduce the risk of stroke, embolic events, and all-cause mortality, because there is less risk of major bleeding compared with warfarin. Warfarin is preferred in patients with moderate to severe mitral stenosis or a mechanical heart valve.

What is the treatment of choice for acute pericarditis?

All patients with acute pericarditis should receive a nonsteroidal anti-inflammatory drug plus colchicine or glucocorticoid plus colchicine to reduce the risk of recurrence.

What is the recommended treatment for pregnant patients with a history of group B streptococcus (GBS) colonization who are undergoing spontaneous vaginal delivery?

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