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Internal and Emergency Medicine

, Volume 13, Issue 7, pp 1005–1007 | Cite as

The changing landscape of thromboprophylaxis for atrial fibrillation: insights from the ISPAF-2 survey

  • Giuseppe Mulè’
  • Caterina Carollo
  • Marco Guarneri
  • Santina Cottone
IM - COMMENTARY

Atrial fibrillation is the most common sustained cardiac dysrhythmia. It represents a major public health problem due to increased mortality risk, reduced quality of life, and increased health costs [1, 2].

The prevalence of nonvalvular atrial fibrillation (AF) continues to increase worldwide, largely affecting the elderly, but also occurring in younger patients as a result of structural heart disease, autonomic imbalance, genetic abnormality, or previous cardiac surgery [3]. The rise in prevalence of AF is largely due to the increasing age of the population. About 1–2% of the total population is affected by AF, but the prevalence of this condition rises to ≈ 10% in individuals aged > 75 years [1, 2, 3]. In Europe, the number of adults with AF is rising markedly, with 9 million affected individuals in 2010, and 17 million expected patients in 2050, with an alarming impact on morbidity and mortality [4]. The associated fivefold risk of stroke is one of the most feared complications of...

Notes

Funding

The authors report no specific funding in relation to the preparation of this paper.

Compliance with ethical standards

Conflict of interest

The author(s) declare that they have no conflict of interest.

Statement of human and animal rights

This article does not contain any studies with human participants or animal performed by any of the authors.

Informed consent

No informed consent is required.

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Copyright information

© Società Italiana di Medicina Interna 2018

Authors and Affiliations

  1. 1.Unit of Nephrology and Hypertension - Biomedical Department of Internal Medicine and Medical Specialties (Di.Bi.M.I.S) - European Society of Hypertension Excellence CentreUniversity of PalermoPalermoItaly

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