Key result
Management of atrial fibrillation in very elderly patients requires a comprehensive assessment and utilizes evolving therapies including newer anticoagulants, left atrial appendage closure, and catheter ablation.
This review highlights the evolving management of atrial fibrillation in the very elderly, emphasizing comprehensive assessment and the roles of newer anticoagulants, LAA closure, and catheter ablation.
May guide individualized AF care in very elderly; leaves open confirmation from dedicated RCTs on ablation and LAA closure.
Atrial fibrillation (AF) is the most common arrhythmia affecting elderly patients. Management and treatment of AF in this rapidly growing population of older patients involve a comprehensive assessment that includes comorbidities, functional, and social status. The cornerstone in therapy of AF is thromboembolic protection. Anticoagulation therapy has evolved, using conventional or newer medications. Percutaneous left atrial appendage closure is a new invasive procedure evolving as an alternative to systematic anticoagulation therapy. Rate or rhythm control leads to relief in symptoms, fewer hospitalizations, and an improvement in quality of life. Invasive methods, such as catheter ablation, are the new frontier of treatment in maintaining an even sinus rhythm in this particular population.
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Letsas et al. (2015) conducted a review in Atrial fibrillation. Management of atrial fibrillation was evaluated. Management of atrial fibrillation in very elderly patients requires a comprehensive assessment and utilizes evolving therapies including newer anticoagulants, left atrial appendage closure, and catheter ablation.
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