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Primum non nocere does not justify clinical inertia for stroke prevention in elderly patients with atrial fibrillation in the era of direct oral anticoagulants

Published:December 27, 2019DOI:https://doi.org/10.1016/j.ejim.2019.12.013
      Stroke prevention with oral anticoagulation represents the cornerstone of atrial fibrillation (AF) management.
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      Linked Article

      • Practical use of Direct Oral Anti Coagulants (DOACs) in the older persons with atrial fibrillation.
        European Journal of Internal MedicineVol. 71
        • Preview
          Direct Oral Anticoagulants (DOACs) consistently demonstrated a greater net clinical benefit compared to Vitamin K Antagonists (VKAs) also in persons aged 75 years and over, who account for the largest proportion of AF patients; however, major uncertainties in DOACs prescription have to do with this age group. In this review, persistent uncertainties and implications of frailty and geriatric syndromes on DOACs prescription, and practical use of DOACs in real-world older persons, and will be discussed.
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