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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

[Antithrombotic treatment of atrial fibrillation in hospital]

G Thomassen1, M S Hansen, A Nordøy

  • 1Medisinsk avdeling Regionsykehuset i Tromsø 9038 Tromsø. johnbh@fagmed.uit.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 15, 2001
PubMed

Insights

This study found that hospital practices generally follow guidelines for prescribing antithrombotic treatments, such as warfarin, to patients with chronic atrial fibrillation. Adherence to these recommendations was observed in clinical practice.

Area of Science:

  • Cardiology
  • Clinical Practice Guidelines
  • Pharmacotherapy

Context:

  • Clinical guidelines recommend oral anticoagulation for atrial fibrillation patients over 65 or with risk factors.
  • Investigated adherence to these recommendations in real-world clinical settings.

Purpose:

  • To evaluate the implementation of oral anticoagulation guidelines in patients with atrial fibrillation.
  • To assess antithrombotic treatment patterns in hospitalized atrial fibrillation patients.

Summary:

  • A retrospective study of 362 atrial fibrillation patients (mean age 68.4) found 70% of those with chronic atrial fibrillation received warfarin at discharge.
  • Warfarin prescription was predicted by prior stroke and atrial fibrillation, but not age.
  • 20% received aspirin, and 12% received no antithrombotic treatment.

Impact:

  • Demonstrates high adherence to antithrombotic treatment guidelines for chronic atrial fibrillation in hospital settings.
  • Highlights the importance of considering patient history for warfarin prescription.
  • Suggests a need for continued monitoring of antithrombotic therapy in atrial fibrillation management.
Abstract

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