{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:22:09Z","timestamp":1760955729287},"reference-count":42,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["onlinecjc.ca","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Canadian Journal of Cardiology"],"published-print":{"date-parts":[[2018,2]]},"DOI":"10.1016\/j.cjca.2017.11.009","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T07:00:12Z","timestamp":1511420412000},"page":"125-131","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Stroke Prevention for High-Risk Atrial Fibrillation in the Emergency Setting: The Emergency Physician Perspective"],"prefix":"10.1016","volume":"34","author":[{"given":"Clare L.","family":"Atzema","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.cjca.2017.11.009_bib1","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1161\/CIRCULATIONAHA.113.005119","article-title":"Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study","volume":"129","author":"Chugh","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2017.11.009_bib2","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.annemergmed.2013.06.005","article-title":"A\u00a0population-based description of atrial fibrillation in the emergency department, 2002 to 2010","volume":"62","author":"Atzema","year":"2013","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib3","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.1016\/j.amjcard.2009.07.022","article-title":"Increasing prevalence of atrial fibrillation and flutter in the United States","volume":"104","author":"Naccarelli","year":"2009","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.cjca.2017.11.009_bib4","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.amjmed.2005.09.052","article-title":"Warfarin prescribing in atrial fibrillation: the impact of physician, patient, and hospital characteristics","volume":"119","author":"Choudhry","year":"2006","journal-title":"Am J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib5","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1136\/heartjnl-2012-303472","article-title":"The use of anticoagulants in the management of atrial fibrillation among general practices in England","volume":"99","author":"Cowan","year":"2013","journal-title":"Heart"},{"key":"10.1016\/j.cjca.2017.11.009_bib6","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.annemergmed.2004.01.010","article-title":"Risk factors for stroke and thromboprophylaxis in atrial fibrillation: what happens in daily clinical practice? The GEFAUR-1 study","volume":"44","author":"Laguna","year":"2004","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib7","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.annemergmed.2007.03.007","article-title":"Increasing US emergency department visit rates and subsequent hospital admissions for atrial fibrillation from 1993 to 2004","volume":"51","author":"McDonald","year":"2008","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib8","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1016\/S0140-6736(16)30968-0","article-title":"Occurrence of death and stroke in patients in 47 countries 1 year after presenting with atrial fibrillation: a cohort study","volume":"388","author":"Healey","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.cjca.2017.11.009_bib9","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1056\/NEJMoa0905561","article-title":"Dabigatran versus warfarin in patients with atrial fibrillation","volume":"361","author":"Connolly","year":"2009","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib10","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1056\/NEJMoa1107039","article-title":"Apixaban versus warfarin in patients with atrial fibrillation","volume":"365","author":"Granger","year":"2011","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib11","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1056\/NEJMoa1009638","article-title":"Rivaroxaban versus warfarin in nonvalvular atrial fibrillation","volume":"365","author":"Patel","year":"2011","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib12","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1056\/NEJMoa1310907","article-title":"Edoxaban versus warfarin in patients with atrial fibrillation","volume":"369","author":"Giugliano","year":"2013","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib13","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1001\/jama.289.15.1969","article-title":"Disseminating innovations in health care","volume":"289","author":"Berwick","year":"2003","journal-title":"JAMA"},{"key":"10.1016\/j.cjca.2017.11.009_bib14","series-title":"Knowledge Translation in Health Care: Moving from Evidence to Practice","article-title":"Organizational theories","author":"Denis","year":"2013"},{"key":"10.1016\/j.cjca.2017.11.009_bib15","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.annemergmed.2016.04.040","article-title":"Definition of emergency medicine","volume":"68","year":"2016","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib17","doi-asserted-by":"crossref","first-page":"386","DOI":"10.2471\/BLT.12.112664","article-title":"Health systems and services: the role of acute care","volume":"91","author":"Hirshon","year":"2013","journal-title":"Bull World Health Organ"},{"key":"10.1016\/j.cjca.2017.11.009_bib18","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.annemergmed.2010.07.015","article-title":"National survey of preventive health services in US emergency departments","volume":"57","author":"Delgado","year":"2011","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib19","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.annemergmed.2006.06.015","article-title":"The future of emergency care in the United States health system","volume":"48","year":"2006","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib20","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/j.1553-2712.2008.00068.x","article-title":"Public health initiatives in the emergency department: not so good for the public health?","volume":"15","author":"Kelen","year":"2008","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib21","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1111\/j.1553-2712.2000.tb02098.x","article-title":"Preventive care in the emergency department, Part II: clinical preventive services\u2013an emergency medicine evidence-based review. Society for Academic Emergency Medicine Public Health and Education Task Force Preventive Services Work Group","volume":"7","author":"Babcock Irvin","year":"2000","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib22","doi-asserted-by":"crossref","first-page":"182","DOI":"10.2310\/8000.2012.110645","article-title":"How does \u201cknowledge translation\u201d affect my clinical practice?","volume":"14","author":"Lang","year":"2012","journal-title":"CJEM"},{"key":"10.1016\/j.cjca.2017.11.009_bib25","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.annemergmed.2015.03.024","article-title":"The long-term use of warfarin among atrial fibrillation patients discharged from an emergency department with a warfarin prescription","volume":"66","author":"Atzema","year":"2015","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib26","doi-asserted-by":"crossref","first-page":"2864","DOI":"10.1001\/jama.285.22.2864","article-title":"Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation","volume":"285","author":"Gage","year":"2001","journal-title":"JAMA"},{"key":"10.1016\/j.cjca.2017.11.009_bib27","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1378\/chest.10-0134","article-title":"A\u00a0novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey","volume":"138","author":"Pisters","year":"2010","journal-title":"Chest"},{"key":"10.1016\/j.cjca.2017.11.009_bib28","doi-asserted-by":"crossref","first-page":"S68","DOI":"10.1017\/cem.2017.175","article-title":"Canadian community utilization of stroke prevention pilot study-emergency department (C-CUSP ED)","volume":"19","author":"Parkash","year":"2017","journal-title":"CJEM"},{"key":"10.1016\/j.cjca.2017.11.009_bib29","doi-asserted-by":"crossref","first-page":"2258","DOI":"10.1016\/j.jacc.2015.01.064","article-title":"Emergency department management of atrial fibrillation in the United States versus Ontario, Canada","volume":"65","author":"Barrett","year":"2015","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.cjca.2017.11.009_bib30","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/S0002-9149(98)00704-8","article-title":"Timing of thromboembolic events after electrical cardioversion of atrial fibrillation or flutter: a retrospective analysis","volume":"82","author":"Berger","year":"1998","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.cjca.2017.11.009_bib31","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1161\/01.CIR.95.4.962","article-title":"Prevalence of thrombus, spontaneous echo contrast, and atrial stunning in patients undergoing cardioversion of atrial flutter. A prospective study using transesophageal echocardiography","volume":"95","author":"Irani","year":"1997","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2017.11.009_bib32","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1001\/jama.2014.3824","article-title":"Time to cardioversion for acute atrial fibrillation and thromboembolic complications","volume":"312","author":"Nuotio","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.cjca.2017.11.009_bib33","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.cjca.2016.07.591","article-title":"2016 focused update of the Canadian Cardiovascular Society guidelines for the management of atrial fibrillation","volume":"32","author":"Macle","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjca.2017.11.009_bib34","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.annemergmed.2013.05.027","article-title":"Anticoagulation for emergency department patients with atrial fibrillation: is our duty to inform or prescribe?","volume":"62","author":"Barrett","year":"2013","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib35","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1016\/0735-1097(93)90543-A","article-title":"Impact of electrical cardioversion for atrial fibrillation on left atrial appendage function and spontaneous echo contrast: characterization by simultaneous transesophageal echocardiography","volume":"22","author":"Grimm","year":"1993","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.cjca.2017.11.009_bib36","doi-asserted-by":"crossref","first-page":"e199","DOI":"10.1161\/CIR.0000000000000041","article-title":"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 Practice Guidelines and the Heart Rhythm Society [erratum in 2014;130:e272-4]","volume":"130","author":"January","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.cjca.2017.11.009_bib37","doi-asserted-by":"crossref","first-page":"2893","DOI":"10.1093\/eurheartj\/ehw210","article-title":"2016 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS","volume":"37","author":"Kirchhof","year":"2016","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjca.2017.11.009_bib38","series-title":"Heuristics and Biases: The Psychology of Intuitive Judgment","author":"Gilovich","year":"2002"},{"key":"10.1016\/j.cjca.2017.11.009_bib39","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1056\/NEJMoa1300615","article-title":"Dabigatran versus warfarin in patients with mechanical heart valves","volume":"369","author":"Eikelboom","year":"2013","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib40","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1136\/bmj.326.7400.1167","article-title":"Pharmaceutical industry sponsorship and research outcome and quality: systematic review","volume":"326","author":"Lexchin","year":"2003","journal-title":"BMJ"},{"key":"10.1016\/j.cjca.2017.11.009_bib41","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1007\/s11606-013-2411-7","article-title":"Pharmaceutical sales representatives and patient safety: a comparative prospective study of information quality in Canada, France and the United States","volume":"28","author":"Mintzes","year":"2013","journal-title":"J\u00a0Gen Intern Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib42","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1017\/S1481803500012586","article-title":"How does an \u201copinion leader\u201d influence my practice?","volume":"12","author":"Carpenter","year":"2010","journal-title":"CJEM"},{"key":"10.1016\/j.cjca.2017.11.009_bib43","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.annemergmed.2014.07.016","article-title":"Stroke prophylaxis in atrial fibrillation: searching for management improvement opportunities in the emergency department: the HERMES-AF study","volume":"65","author":"Coll-Vinent","year":"2015","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.cjca.2017.11.009_bib44","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1161\/STROKEAHA.108.526988","article-title":"Effect of age on stroke prevention therapy in patients with atrial fibrillation: the atrial fibrillation investigators","volume":"40","author":"van Walraven","year":"2009","journal-title":"Stroke"},{"key":"10.1016\/j.cjca.2017.11.009_bib45","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1001\/archinte.159.7.677","article-title":"Choosing antithrombotic therapy for elderly patients with atrial fibrillation who are at risk for falls","volume":"159","author":"Man-Son-Hing","year":"1999","journal-title":"Arch Intern Med"}],"container-title":["Canadian Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X17311716?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0828282X17311716?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,8,25]],"date-time":"2018-08-25T21:56:05Z","timestamp":1535234165000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0828282X17311716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S0828282X17311716"],"URL":"https:\/\/doi.org\/10.1016\/j.cjca.2017.11.009","relation":{},"ISSN":["0828-282X"],"issn-type":[{"value":"0828-282X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Stroke Prevention for High-Risk Atrial Fibrillation in the Emergency Setting: The Emergency Physician Perspective","name":"articletitle","label":"Article Title"},{"value":"Canadian Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cjca.2017.11.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}