Research Article Open Access

In-Depth Review of Stroke Prevention in Patients with Non-Valvular Atrial Fibrillation

Daych Chongnarungsin1, Supawat Ratanapo1, Narat Srivali1, Patompong Ungprasert1, Promporn Suksaranjit1, Saeed Ahmed1 and Wisit Cheungpasitporn1
  • 1 Columbia University, United States

Abstract

Stroke is a common complication of atrial fibrillation that leads to high morbidity. Anticoagulation therapy significantly reduces the risk of stroke in a selected group of patients. The decision to start anticoagulation needs to be balanced with bleeding risk. During the past years, multiple oral anticoagulation agents were proven to be as effective as warfarin in multiple randomized clinical trials. The superior benefits of these agents over warfarin are lower risk of intracranial bleeding, stable blood level and no need for frequent blood monitoring. The non-pharmacological approach for stroke prevention is undergoing development and only use in the clinical trials. If proven to be beneficial, it will have great impact for the patient who is contraindicated for anticoagulation therapy. The objective of this article is to review the most current options for stroke prevention in patients with non-valvular atrial fibrillation.

Current Research in Medicine
Volume 3 No. 2, 2012, 100-103

DOI: https://doi.org/10.3844/amjsp.2012.100.103

Submitted On: 21 April 2012 Published On: 22 May 2012

How to Cite: Chongnarungsin, D., Ratanapo, S., Srivali, N., Ungprasert, P., Suksaranjit, P., Ahmed, S. & Cheungpasitporn, W. (2012). In-Depth Review of Stroke Prevention in Patients with Non-Valvular Atrial Fibrillation. Current Research in Medicine, 3(2), 100-103. https://doi.org/10.3844/amjsp.2012.100.103

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Keywords

  • Atrial fibrillation
  • HAS-BLED bleeding
  • stroke prevention
  • frequent blood monitoring