Cardiology

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A 35-year-old man presents to the emergency department complaining of syncope. He denies any preceding chest pain, palpitations or trouble breathing, and states he did not injure himself other than a bump on his forehead.

A new tool for assessing the risk of thromboembolic events in patients with atrial fibrillation performed better than the existing standard in a large retrospective analysis. ATRIA risk scores were less likely than CHA2DS2-VASc scores to mistakenly characterize patients as "high risk" and, therefore, to lead to the overuse of anticoagulation.