Atrial fibrillation and thromboprophylaxis in heart failure: the need for patient-centered approaches to address adherence | Zendy

Caleb Ferguson | Zendy; Inglis | Zendy; Phillip J. Newton | Zendy; Sandy Middleton | Zendy; Patricia M. Davidson | Zendy; Macdonald | Zendy

Open Access

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

Author(s) -

Caleb Ferguson,

Inglis,

Phillip J. Newton,

Sandy Middleton,

Patricia M. Davidson,

Macdonald

Publication year - 2013

Publication title -

vascular health and risk management

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.892

H-Index - 68

eISSN - 1178-2048

pISSN - 1176-6344

DOI - 10.2147/vhrm.s39571

Subject(s) - medicine , atrial fibrillation , heart failure , cardiology , intensive care medicine

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 atrial fibrillation and emphasizes the importance of tailoring individual risk and the importance of 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 cardiogeriatric conditions, potential for adherence to prescribed therapy, frailty, and functional and cognitive ability.

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