ISSN 1016-5169 | E-ISSN 1308-4488
pdf
Atrial fibrillation in the elderly [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(5): 75-82 | DOI: 10.5543/tkda.2017.37863

Atrial fibrillation in the elderly

Kamil Adalet
Department of Cardiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey

The prevalence of atrial fibrillation increases dramatically with advancing age. Elderly adults with atrial fibrillation -even those with high bleeding risk- benefit from anticoagulation. The risk of ischemic stroke or systemic embolism was significantly lower with new direct oral anticoagulants (DOACs) than warfarin as was the risk of major bleeding and intracranial bleeding. Antiplatelet therapy should have a limited role for stroke prevention in elderly adults. Left atrial appendix occlusion may be a suitable alternative for those with contraindications to oral anticoagulants. For symptom management, it is likely that a strategy of lenient rate control is reasonable in elderly adults with atrial fibrillation. Rhythm control should be reserved for specific circumstances, in particular when symptoms cannot be managed using rate control. In appropriately selected elderly adults with symptomatic atrial fibrillation, catheter ablation may also be a useful strategy, with acceptable safety and efficacy based on limited data. A rhythm control strategy should not preclude anticoagulation.

Keywords: Atrial fibrillation, ablation, stroke, elderly.

How to cite this article
Kamil Adalet. Atrial fibrillation in the elderly. Turk Kardiyol Dern Ars. 2017; 45(5): 75-82

Corresponding Author: Kamil Adalet, Türkiye
Manuscript Language: Turkish


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.