|
General measures |
(i) Maintenance of remission for as long as possible |
(ii) Regular cardiologic checkup |
(a) Physical examination |
(b) Blood pressure measurement |
(c) Blood tests (hemoleucogram, lipids, electrolytes, biomarkers of cardiac injury, B-type natriuretic peptide, and N-terminal probrain natriuretic peptide, acute phase reactants) |
(d) 12-lead electrocardiogram |
(e) Transthoracic echocardiography (including 2D speckle tracking for early detection of subclinical changes in cardiac function) |
(iii) Reduce stress |
(iv) Cease smoking |
(v) Lose weight in case of obesity |
(vi) Reduce hospitalization |
(vii) Early mobilize the patients |
(viii) Minimize the use of invasive devices |
(ix) Reduce the consumption of oral contraceptives and hormone replacement therapy |
(x) Minimize the duration of corticosteroid and immunosuppressant administration |
(xi) Diet with low sodium intake and potassium supplementation while corticosteroid use |
|
Specific measures |
Venous thromboembolism [22, 59, 64–66] | (i) Screening for genetic risk factors in patients with recurrent venous thromboembolic events |
(ii) Prophylactic anticoagulation or mechanical thromboprophylaxis (when anticoagulation is contraindicated) and management of additional risk factors in hospitalized patients |
(iii) Short-term or long-term anticoagulation should be decided according to each patient |
Arterial thromboembolism [19, 80–82] | (i) Management of traditional and nontraditional cardiovascular risk factors |
Infective endocarditis [108, 109] | (i) Prophylactic antibiotherapy in case of preexisting valvulopathy, invasive procedures, or use of central venous catheters |
|