Munn, D., Abdul-Rahim, A. , Fischer, U., Werring, D. J., Robinson, T. G. and Dawson, J. (2018) A survey of opinion: When to start oral anticoagulants in patients with acute ischaemic stroke and atrial fibrillation? European Stroke Journal, 3(4), pp. 355-360. (doi: 10.1177/2396987318787124)
|
Text
163830.pdf - Accepted Version 313kB | |
|
Text
163830Suppl.pdf - Supplemental Material 885kB |
Abstract
Background: There is uncertainty regarding the optimal timing for initiation of oral anticoagulant treatment (OAC) in patients with recent ischaemic stroke and atrial fibrillation (AF). We surveyed the current UK practice and assessed clinician’s opinions of when to use OAC in recent stroke patients with AF. Methods: An online survey was sent to stroke physicians within the United Kingdom via their national societies. Results: One hundred and twenty-one clinicians responded to the survey. Ninety-five percent of responders agreed there was uncertainty regarding timing of OAC initiation after AF-related ischaemic stroke. Thirty-six percent of responders followed the ‘1-3-6-12’ European Society of Cardiology (ESC) guidelines recommendation. Uncertainty was greater in cases of moderate stroke than in cases of TIA, mild or severe stroke. Eighty-eight percent of responders would be willing to participate in a clinical trial of early vs. later initiation of OAC after stroke. Direct-acting oral anticoagulant (DOAC) were the preferred OAC of choice. Conclusion: There is a lack of consensus amongst stroke physicians for when to initiate OAC to prevent recurrence in stroke patients with AF. There is little uncertainty regarding TIA. A clinical trial assessing use of early vs. later initiation of DOAC in patients with recent ischaemic stroke and AF would be beneficial.
Item Type: | Articles |
---|---|
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Abdul-Rahim, Dr Azmil and Dawson, Professor Jesse |
Authors: | Munn, D., Abdul-Rahim, A., Fischer, U., Werring, D. J., Robinson, T. G., and Dawson, J. |
College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health College of Medical Veterinary and Life Sciences > School of Psychology & Neuroscience |
Journal Name: | European Stroke Journal |
Publisher: | SAGE Publications |
ISSN: | 2396-9873 |
ISSN (Online): | 2396-9881 |
Published Online: | 10 July 2018 |
Copyright Holders: | Copyright © 2018 European Stroke Organisation |
First Published: | First published in European Stroke Journal 3(4): 355-360 |
Publisher Policy: | Reproduced in accordance with the publisher copyright policy |
University Staff: Request a correction | Enlighten Editors: Update this record