Two-year lag in anticoagulation ‘common’ in high-risk AF

Patients are missing out on timely review of their stroke risk in primary care, authors say
Clare Pain
young female doctor taking elderly man's BP

General practice patients with AF have a median delay of two years between becoming high risk for stroke and having oral anticoagulants initiated, a study suggests.

Tasmanian researchers used data from 400 GP practices in the MedicineInsight database, which is representative of the population, to track nearly 2300 patients diagnosed with AF in 2007-08 over the next decade.

At baseline, the mean age was 66 years, 52% were men and none were being anticoagulated.

Over a median follow-up of 9.4 years, the mean CHA2DS2-VA score increased from 1.77 to 3.11, according to calculations by the University of Tasmania authors using information from electronic medical records.