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Maruyama et al., 2020
Author contributions BH: data curation, formal analysis, project administration, supervision, writingoriginal draft, and writingreview and editing
The more specific ICD-9 subcode 278.01 (morbid obesity) maps most closely to ICD-10 Code E66.01
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Strength of recommendation: 1B Rationale: Atrial fibrillation is the most common arrhythmia worldwide and substantially increases the risk of stroke and thromboembolic events.130 Both DM and CKD are associated with an increased risk of developing atrial fibrillation as compared to the general population.130132 Furthermore, the presence of DM and/or CKD in patients with atrial fibrillation increases the risk of thromboembolic events,133136 as well as mortality and bleeding risks.136,137 The most common score used to estimate the thromboembolic risk and indication for oral anticoagulation is the CHA2DS2-VASc,130 and DM is one of the score items, therefore most patients with diabetes and CKD will indicate oral anticoagulation
This approach tends to be the most efficient way to deliver the medication and may require placement at two levels or on both sides (bilateral)
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