Giuseppe Boriani, Niccolò Bonini, Jacopo F Imberti, Marco Vitolo, Luigi Gerra, Marta Mantovani, Kevin Serafini, Chiara Birtolo, Enrico Tartaglia, Davide A Mei
The management of patients with atrial fibrillation (AF) requires intricate clinical decision-making to optimize outcomes. In everyday clinical practice, physicians undergo difficult choices to better manage patients with AF. They need to balance thromboembolic and bleeding risk to focus on patients' symptoms and to manage a variety of multiple comorbidities. In this review, we aimed to explore the multifaceted dimensions of clinical decision-making in AF patients, encompassing the definition and diagnosis of clinical AF, stroke risk stratification, oral anticoagulant therapy selection, consideration of bleeding risk, and the ongoing debate between rhythm and rate control strategies...
April 24, 2024: Panminerva Medica