Surrounding Atrial Fibrillation in the Elderly Patients... Complex and Manifold

Abstract

Atrial fibrillation is the most common arrhythmia of the elderly.
The prevention of thromboembolic events (namely, stroke)
and oral anticoagulation is an imperative require. However,
atrial fibrillation in the elderly is a multifaceted clinical condition,
associated with multimorbidity, geriatric syndromes,
polypharmacy and overall frailty. Consequently, primary geriatric
care must include the assessment of functional status,
iterated review of medication and thoughtful consideration
of the potential benefits and adverse effects of treatment, in
order to achieve the proposed objectives. Oral anticoagulation
is often disapproved and less used. Shared decision-
-making is necessary. Properly sense of balance between
risks and benefits in the management of atrial fibrillation in
elderly patients with multiple comorbidities, often with clinical
frailty, is a complex challenge. This paper try to point out, at
a time when direct target-specific oral anticoagulants are an
alternative to warfarin, evaluate and talk about some of the
decision making process.