Loading...
Atrial fibrillation and thromboprophylaxis in heart failure : The need for patient-centered approaches to address adherence
Ferguson, Caleb Inglis, Sally C. Newton, Phillip J. Middleton, Sandy Macdonald, Peter S. Davidson, Patricia M.
Ferguson, Caleb
Inglis, Sally C.
Newton, Phillip J.
Middleton, Sandy
Macdonald, Peter S.
Davidson, Patricia M.
Abstract
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.
Keywords
stroke risk, heart failure, atrial fibrillation, anticoagulation, risk stratification, medication adherence
Date
2013
Type
Journal article
Journal
Vascular Health and Risk Management
Book
Volume
9
Issue
Page Range
3-11
Article Number
ACU Department
Nursing Research Institute
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC 3.0
File Access
Open