Frailty Should Not Be a Justification for Not Prescribing Anticoagulation in Older Patients With Atrial Fibrillation

We have read with great interest the article by Alagiakrishnan et  al1 and we fully agree with their conclusion advising physicians to be aware of the association of atrial fibrillation (AF) with numerous geriatric syndromes.1 AF is the most common cardiac rhythm disorder in older adults. In subjects aged>75  years, AF has been associated with a worse prognosis compared to younger patients, with higher mortality and greater adverse cardiac events rate.2 Frailty is a biological state of increased vulnerability to health stressors that is also closely related to the ageing process.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Letter to the Editor Source Type: research