Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant

Share this content:
Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant
Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant

TUESDAY, June 21, 2016 (HealthDay News) -- More than one-third of U.S. patients with atrial fibrillation who need anticoagulation to prevent strokes aren't receiving it, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.

Jonathan Hsu, M.D., an assistant professor of medicine, cardiology, and cardiac electrophysiology at the University of California, San Diego, and colleagues used an American College of Cardiology registry to review the medical records of 210,380 at-risk atrial fibrillation patients. They also conducted a secondary analysis of 294,642 patients considered at-risk based on an updated guideline.

In both of these high-risk groups, 38.2 percent were treated with aspirin and 61.8 percent were prescribed anticoagulation, the investigators found. Patients prescribed aspirin alone were more likely to be younger, thinner, and female. They were also more likely to have another medical condition, such as diabetes, hypertension, high cholesterol, coronary artery disease, prior heart attack, prior coronary artery bypass graft surgery, or peripheral artery disease. Those prescribed anticoagulation were more likely to be male, overweight, and to have had prior stroke/transient ischemic attack, prior systemic embolism, and congestive heart failure.

"Despite clear guideline recommendations that patients at risk for stroke that have atrial fibrillation should be given blood thinners, many of these patients are not prescribed these potentially lifesaving medications," Hsu told HealthDay. He suggested that some doctors may be unaware of current guidelines.

Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Hospitals Vary Widely in Moving Stroke Patients to Comfort Care

Hospitals Vary Widely in Moving Stroke Patients to ...

Doctors more apt to suggest it sooner for older, white, female, and uninsured patients

Peri-Op IV Acetaminophen May Reduce Post-Op Pain in Sinus Sx

Peri-Op IV Acetaminophen May Reduce Post-Op Pain in ...

Reduction in immediate postoperative pain after endoscopic sinus surgery, but results inconclusive

Location of Body Fat Can Indicate Obesity-Related Cancer Risk

Location of Body Fat Can Indicate Obesity-Related Cancer ...

Where fat is carried is as strong a predictor as BMI, researchers suggest

is free, fast, and customized just for you!

Already a member?

Sign In Now »