Review

Advances in Therapy

, Volume 28, Issue 1, pp 1-12

First online:

What is the role of the cardiologist in future management of stroke prevention in atrial fibrillation?

  • Selvakumar VeluAffiliated withCardiovascular Sciences, City Hospital, University of Birmingham Centre for
  • , Gregory Y. H. LipAffiliated withCardiovascular Sciences, City Hospital, University of Birmingham Centre for Email author 

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Abstract

Atrial fibrillation (AF) is becoming increasingly common in an ageing population. Much of the morbidity and mortality in AF is due to stroke and thromboembolism. Awareness of stroke risk and the need for prevention is well recognized but is far from satisfactory in the real world. Despite refinements in the risk stratification over the years, there is an unmet need for appropriate thromboprophylaxis due to the underuse of oral anticoagulation. Primary care physicians and generalists bear the burden of managing AF. Coordinated multidisciplinary efforts by cardiologists, primary care physicians, and neurologists may be needed to meet the increasing challenge of stroke prevention and rhythm management in AF. This article discusses the potential the role of the cardiologist in the management of stroke prevention in patients with AF.

Keywords

anticoagulants atrial fibrillation cardiologist risk stratification stroke thromboprophylaxis