Az antikoaguláns terápia minosége nonvalvularis pitvarfibrillációban egy hazai mintán

Translated title of the contribution: Underusage of anticoagulant therapy in nonvalvular atrial fibrillation. Analysis of a Hungarian cohort

Mária Lengyel, Csaba Farsang, Mónika Dénes, Tiborné Kiss

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In nonvalvular atrial fibrillation stroke prevention by anticoagulation is clearly recommended by evidence based medicine. Underusage of coumarin treatment however is a general problem. The aim of this study was the analysis of prehospital and hospital practice of anticoagulant therapy in a Hungarian cohort. 106 consecutive patients hospitalized in a Budapest medical department with chronic non-valvular atrial fibrillation were included. Mean age was 76 years, the percentage of males was 30%. High stroke risk factors were found in all patients, at least two of them in 72%. 70% of patients were 75 years old or more. Thus anticoagulant treatment was indicated in all patients, however at admission only 30% were anticoagulated, moreover therapeutic range was achieved in only 28% of them. At discharge in 77% of all patients and in 82% without contraindications coumarin treatment could be started, practically independently of age. Conclusions: in the Hungarian prehospital practice anticoagulant treatment of nonvalvular atrial fibrillation is underused and inefficient, but excellent rates even in international comparison can be achieved by adequate medical approach even in the elderly.

Translated title of the contributionUnderusage of anticoagulant therapy in nonvalvular atrial fibrillation. Analysis of a Hungarian cohort
Original languageHungarian
Pages (from-to)517-520
Number of pages4
JournalOrvosi hetilap
Volume145
Issue number10
Publication statusPublished - Mar 1 2004

ASJC Scopus subject areas

  • Medicine(all)

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