Atrial Fibrillation
Conditions
Keywords
anticoagulants
Brief summary
Atrial fibrillation is a clinically significant cardiac arrhythmia that increases the risk of stroke by 3 to 4 times. Oral anticoagulation has been shown to mitigate stroke risk by two-thirds among patients with AF and is widely recommended in optimizing AF management.Direct oral anticoagulants have also been demonstrated to be superior to warfarin with respect to the risk of fatal bleeding and stroke prevention. However, the previous study finding highlighted a great gap between current guidelines and the clinical management of AF .Nonetheless, the decision for anticoagulant use is not straightforward.It is worth to investigate the updated prevalence of anticoagulant use, the reasons for not receiving anticoagulant, and the factors independently associated with anticoagulant refusal in patients with non-valvular atrial fibrillation.
Interventions
no intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis as atrial fibrillation * aged ≧18 years * able to given consent
Exclusion criteria
* Unable/unwillingness to sign informed consent to study * mechanical heart valve * moderate-to-severe mitral stenosis * Transient atrial fibrillation from reversible cause (e.g., during respiratory tract infection or bronchospasm) * pregnancy * hospitalization within 1 month prior to inclusion in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The prevalence of anticoagulant use in non-valvular atrial fibrillation patients | August 2019 to March 2020 | calculate the prevalence of anticoagulant use in non-valvular atrial fibrillation patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the rate of the refusal of anticoagulant use | August 2019 to March 2020 | calculate the rate of refusal of anticoagulant use in the eligible non-valvular atrial fibrillation patients |
Countries
Hong Kong