Stroke prevention in the elderly atrial fibrillation patient with comorbid conditions: Focus on non-vitamin K antagonist oral anticoagulants

Mohit K. Turagam, Poonam Velagapudi, Greg C. Flaker

Research output: Contribution to journalReview articlepeer-review

25 Scopus citations

Abstract

Stroke prevention in elderly atrial fibrillation patients remains a challenge. There is a high risk of stroke and systemic thromboembolism but also a high risk of bleeding if anticoagulants are prescribed. The elderly have increased chronic kidney disease, coronary artery disease, polypharmacy, and overall frailty. For all these reasons, anticoagulant use is underutilized in the elderly. In this manuscript, the benefits of non-vitamin K antagonist oral anticoagulants compared with warfarin in the elderly patient population with multiple comorbid conditions are reviewed.

Original languageEnglish
Pages (from-to)1431-1444
Number of pages14
JournalClinical Interventions in Aging
Volume10
DOIs
StatePublished - 3 Sep 2015
Externally publishedYes

Keywords

  • Apixaban
  • Dabigatran
  • Edoxaban
  • Non-vitamin K antagonist oral anticoagulants
  • Novel oral anticoagulants
  • Rivaroxaban
  • Warfarin

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