Aspirin not safe against stroke in AF patients

According to updated guidelines released by the UK’s National Institute for Health and Care Excellence (NICE) last week, aspirin is neither safe nor effective for stroke prevention in AF.

The guidelines say anticoagulant therapy should be the only option and doctors should use the HAS-BLED score — hypertension, abnormal renal or liver function, stroke (history), bleeding (history of, predisposition to), labile INRs (<6 in 10 INRs in therapeutic range), elderly (age >65 years), drugs — to assess the risk of bleeding as part of the decision about