Atrial fibrillation and thromboprophylaxis in heart failure: The need for patient centered approaches to address adherence

Publisher:
Dove Medical Press
Publication Type:
Journal Article
Citation:
Vascular Health and Risk Management, 2013, 9 pp. 3 - 11
Issue Date:
2013-01-17
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Atrial fibrillation is a common arrhythmia in heart failure and a risk factor for stroke. Risk assessment tools can assist clinicians with decision-making in the allocation of thromboprophylaxis. This review provides an overview of current validated risk assessment tools for AF and emphasises the importance of addressing both tailoring individual risk for stroke and weighing the benefits of treatment. Further, this review provides details of innovative and patient centered methods for ensuring optimal adherence to prescribed therapy. Prior to initiating oral anticoagulant therapy a comprehensive risk assessment should include evaluation of associated cardio-geriatric conditions, potential for adherence to prescribed therapy, frailty, functional and cognitive ability.
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