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Higher hemorrhagic risks, severe cognitive impairment, and functional impairment contribute to the under-prescription of oral anticoagulants in elderly patients with atrial fibrillation.
This minireview highlights that higher hemorrhagic risks and cognitive/functional impairments contribute to the under-prescription of oral anticoagulants in elderly patients with atrial fibrillation.
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Risks of hemorrhage, cognitive and functional impairment may explain OAC underuse in elderly AF; leaves open tailored strategies.
Atrial fibrillation (AF) is a very common in clinical practice. The prevalence of AF is high after the age of 65 years. Patients with AF have a worse quality of life than healthy controls. However, concomitant higher hemorrhagic risks, severe cognitive and functional impairment may at least partly explain under-prescription of oral anticoagulants in the elderly.
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Ciarambino et al. (2020) studied this question. Higher hemorrhagic risks, severe cognitive impairment, and functional impairment contribute to the under-prescription of oral anticoagulants in elderly patients with atrial fibrillation.
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