FACTORS ASSOCIATED WITH UNDER UTILIZATION OF ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION WITH HIGH RISK PROFILE FOR THROMBOEMBOLISM

Main Article Content

Abdul malik
Farooq ahmad
Ikram ullah
Muhammad israr
Salman ahmad

Abstract

ABSTRACT

 OBJECTIVE: To determine the factors associated with under utilization
of anticoagulation in patients with atrial fibrillation (AF) with high risk
profile for thromboembolism.
METHODS: This descriptive cross-sectional study was conducted at
Cardiovascular Department Lady Reading Hospital Peshawar, Pakistan
and Cardiology Department Hayatabad Medical Complex Peshawar,
Pakistan from 01-12-2014 to 28-02-2015. All patients visiting OPD of
respective hospitals with electrocardiogram (ECG) evidence of AF and
CHADS VASC score 2 or more and mitral stenosis and AF were included.
RESULTS: Out of 205 patients, 114 (55.6%) were males and mean age
was 60.7±4.7 years. Out of 205, 149 (72.7%) were candidates for anticoagulation. AF patients with CHA2DS2 VASc score of ≥2 were 130
while patients with mitral stenosis and AF were 19. Only 41(27.5%)
patients were adequately treated with anticoagulant therapy using
vitamin K antagonist (VKA) or novel oral anticoagulant drugs. Factors
associated with underutilization of anticoagulant therapy were, patient
preference 27.8%, older age of 65 and above 17.6%, use of dual antiplatelet therapy 28.7 %, monitoring issue 9.3%, affordability 8.3% and prior complications due to anticoagulation therapy in 8.3%.
CONCLUSION: Patients refusal of taking anticoagulation therapy,
poverty, older age, lack of monitoring facility, previous complications
or use of anti-platelet therapy are major causes of under utilization of
anticoagulant therapy in patients with AF.
KEY WORDS: Atrial Fibrillation (MeSH), CHADS VASC score 2 (NonMeSH), Dual Antiplatelet Therapy (DAPT) (Non-MeSH), Warfarin
(MeSH) .

 

Article Details

How to Cite
malik, Abdul, et al. “FACTORS ASSOCIATED WITH UNDER UTILIZATION OF ANTICOAGULATION IN PATIENTS WITH ATRIAL FIBRILLATION WITH HIGH RISK PROFILE FOR THROMBOEMBOLISM”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 8, no. 3, Jan. 2017, p. 128, https://www.kmuj.kmu.edu.pk/article/view/15344.
Section
Original Articles
Author Biography

Ikram ullah, cardiovascular LRH

junior registrar cardiovascular LRH

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