For elderly patients (i.e. older than 80) with only one documented episode of paroxysmal atrial fibrillation following a stress event (such as acute illness/steroid administration) and a CHADsVASc score greater than 1, how would you counsel them on the risks/benefits of anticoagulation and subsequent monitoring for afib recurrence?

Answer from: at Community Practice

If it were an isolated event, I would advocate continued monitoring for recurrence before starting an anticoagulant with the understanding that the risk of AF recurrence is relatively high.

Comments

at Centro Cardiovascular
Anticoagulation

at Bass Medical Group
Careful observation

at Cholankeril Medical Associates
From a medicolegal perspective, I always say antic...

at Corporacion Del Centro Cardiovascular De Puerto Rico Del
I certainly agree. The risk of recurrent Afib is h...

at Heart And Vascular Center Of Arizona
Thorough discussion favoring anticoagulation.

at Arizona State Physicians Association
Detailed discussion. Start anticoagulation, if pat...

at Caremore Medical Group
Some 80 years old at least has a CHADS-VASc of 2 w...

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