Journal
SEMINARS IN THROMBOSIS AND HEMOSTASIS
Volume 35, Issue 6, Pages 554-559Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0029-1241048
Keywords
Atrial fibrillation; oral anticoagulation; stroke prevention
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Atrial fibrillation (AF) is the most common sustained arrhythmia of the Western world. The increased ischemic stroke risk of the AF patient is one of the most important clinical issues to manage. Despite the well-known benefit of oral anticoagulation in high-risk AF patients, these drugs are widely underused in daily practice all over the world. We describe old and new paradigms of the use of oral anti coagulation. In the future, increased comprehensibility of stroke risk scores, development of a validated clinical bleed risk score, and new patient and physician user-friendly antithrombotic medication may contribute to improved adequate use of oral anticoagulation in AF patients.
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