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Atrial fibrillation AF is a major worldwide public health problem, and AF in association with valvular heart disease VHD is also common. However, management strategies for this group of patients have been less informed by randomized trials, which have largely focused on 'non-valvular AF' patients.

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Thrombo-embolic risk also varies according to valve lesion and may also be associated with CHA2DS2VASc score risk factor components, rather than only the valve disease being causal. Given marked heterogeneity in the definition of valvular and non-valvular AF and variable management strategies, including non-vitamin K antagonist oral anticoagulants NOACs in patients with VHD other than prosthetic heart valves or haemodynamically significant mitral valve disease, there is a need to provide expert recommendations for professionals participating in the care of patients presenting with AF and associated VHD.

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  5. This consensus document also summarizes current developments in the field, and provides general recommendations for the management of these patients based on the principles of evidence-based medicine. Published on behalf of the European Society of Cardiology. All rights reserved. For permissions, please email: journals. Anticoagulation; Atrial fibrillation; Mechanical prosthetic heart valves; Mitral stenosis; Non-vitamin K antagonist oral anticoagulants; Pregnancy; Stroke; Stroke prevention; Thrombo-embolism; Valvular heart disease; Vitamin K antagonists.

    National Center for Biotechnology Information , U. Didn't get the message? Find out why I was the coolest looking 29 year old there : People were rushing into stores, knocking each other over, just trying to find a fanny pack to be as cool as I was! I LOVE this article!!! I have not seen a fanny pack in years.

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    I agree with one of the ladies I do not need any help adding weight to the midsection so we rock the backpack. I really enjoyed reading this:. I use a super small cross body bag that I had ordered from Mary Kay a few years ago. I personally do not use a fanny pack….

    But I have to say that these comments are cracking me up. I also used the Vera Bradley small hipster on my last Disney trip and it was perfect for my needs. I have a small cross body bag I got years ago. It has two small front pockets that I can keep my phone and camera in and a waterbottle pocket too. I do however still carry in a backpack with all our our rain ponchos, and things that wont fit in my bag. WHen we do the frisght fests up here I usually bring one of those small drawstring bags with extra hats and gloves and handwarmers. Lol I have to say, though it looks slightly embarrasing to older kids…my mom wore one on our vacation!

    She found it easier to keep track of and not as heavy as wearing a backpack.

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    It also made it easier for her to make us older kids accountable for our own belongings we chose to purchase or bring along in the first place! Just want to put it out there that I have carried a standard size backpack on all four trips and have taken it on every. Vera Bradley carries a variety of small cross body bags. They allow the convenience of having your stuff in front and within easy reach, but without causing the fashion police to ticket you.

    I use mine for the basic necessities: phone, money and tickets.

    Sometimes less is best. Imagine the freedom. It is spectacular.

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    Reasons you should stick to a traditional backpack.

    All trademarks, service marks, and trade names are proprietary to Disney Enterprises, Inc. Go here to read my disclosure policy. Menu What is Couponing to Disney? Reasons to use a fanny pack. They are smaller than regular bags. On rides where bulky backpacks are not allowed, you will pass through with no problem. You cannot carry as many items in a fanny pack due to their smaller nature.

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