Anticoagulation in the Elderly
Oral anticoagulation in elderly patients with nonvalvular atrial fibrillation will be reviewed along with evidence from randomized clinical trials, meta-analyses and real-world studies. Treatment decisions in older adults should be individualized using shared decision-making balancing stroke prevention against bleeding risk, fall risk, cognitive status, frailty, and renal function, with guideline-based assessment rather than age alone driving anticoagulation decisions.
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