ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION

Objective: To assess adequacy of anticoagulation in Warfarin treated patients with atrial fibrillation Study Design: Prospective observational study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, from Nov 2019 to Apr 2020....

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Autores principales:	Amer Rauf, Azmat Hayat, Noor Shah, Kumail Abbas, Waqas Khalid, Sayed Tanveer Abbas Gilani
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	anticoagulants atrial fibrillation warfarin Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fbef6e22318f43909826da2352610f2b
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spelling	oai:doaj.org-article:fbef6e22318f43909826da2352610f2b2021-12-02T19:11:08ZANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATIONdoi.org/10.51253/pafmj.v70iSuppl-4.60210030-96482411-8842https://doaj.org/article/fbef6e22318f43909826da2352610f2b2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6021https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess adequacy of anticoagulation in Warfarin treated patients with atrial fibrillation Study Design: Prospective observational study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, from Nov 2019 to Apr 2020. Methodology: All individuals fulfilling the inclusion criteria were enrolled in the study after their consent. Based upon their serial International Normalized Ratio (INR) values, Time in Therapeutic Range (TTR) was calculated using Rosendaal method. A TTR>70% was a marker of adequate anticoagulation. Factors associated with TTR <70% were identified. Results: Total 70 participants were included in the study. Mean age (± SD) was 51.43 (± 11.27) years. Thirty four (48.6%) were males and 36 (51.4%) were females. Twenty four (34.3%) had valvular atrial fibrillation while 46 (65.7%) had non-valvular atrial fibrillation. Overall, TTR>70% was observed in 29 (41.4%) of study participants. Poly-pharmacy and multiple co-morbidities were identified as statistically significant factors associated with subtherapeutic anticoagulation (TTR<70%). Conclusion: Determined TTR of study population indicates poor anticoagulation control in majority of patients being anticoagulated with Warfar in highlighting the need for focused interventions such as dedicated anticoagulation clinics and patient education.Amer RaufAzmat HayatNoor ShahKumail AbbasWaqas KhalidSayed Tanveer Abbas GilaniArmy Medical College Rawalpindiarticleanticoagulantsatrial fibrillationwarfarinMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 768-771 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	anticoagulants atrial fibrillation warfarin Medicine R Medicine (General) R5-920
spellingShingle	anticoagulants atrial fibrillation warfarin Medicine R Medicine (General) R5-920 Amer Rauf Azmat Hayat Noor Shah Kumail Abbas Waqas Khalid Sayed Tanveer Abbas Gilani ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
description	Objective: To assess adequacy of anticoagulation in Warfarin treated patients with atrial fibrillation Study Design: Prospective observational study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, from Nov 2019 to Apr 2020. Methodology: All individuals fulfilling the inclusion criteria were enrolled in the study after their consent. Based upon their serial International Normalized Ratio (INR) values, Time in Therapeutic Range (TTR) was calculated using Rosendaal method. A TTR>70% was a marker of adequate anticoagulation. Factors associated with TTR <70% were identified. Results: Total 70 participants were included in the study. Mean age (± SD) was 51.43 (± 11.27) years. Thirty four (48.6%) were males and 36 (51.4%) were females. Twenty four (34.3%) had valvular atrial fibrillation while 46 (65.7%) had non-valvular atrial fibrillation. Overall, TTR>70% was observed in 29 (41.4%) of study participants. Poly-pharmacy and multiple co-morbidities were identified as statistically significant factors associated with subtherapeutic anticoagulation (TTR<70%). Conclusion: Determined TTR of study population indicates poor anticoagulation control in majority of patients being anticoagulated with Warfar in highlighting the need for focused interventions such as dedicated anticoagulation clinics and patient education.
format	article
author	Amer Rauf Azmat Hayat Noor Shah Kumail Abbas Waqas Khalid Sayed Tanveer Abbas Gilani
author_facet	Amer Rauf Azmat Hayat Noor Shah Kumail Abbas Waqas Khalid Sayed Tanveer Abbas Gilani
author_sort	Amer Rauf
title	ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
title_short	ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
title_full	ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
title_fullStr	ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
title_full_unstemmed	ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION
title_sort	anticoagulation control among patients with atrial fibrillation
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/fbef6e22318f43909826da2352610f2b
work_keys_str_mv	AT amerrauf anticoagulationcontrolamongpatientswithatrialfibrillation AT azmathayat anticoagulationcontrolamongpatientswithatrialfibrillation AT noorshah anticoagulationcontrolamongpatientswithatrialfibrillation AT kumailabbas anticoagulationcontrolamongpatientswithatrialfibrillation AT waqaskhalid anticoagulationcontrolamongpatientswithatrialfibrillation AT sayedtanveerabbasgilani anticoagulationcontrolamongpatientswithatrialfibrillation
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ANTICOAGULATION CONTROL AMONG PATIENTS WITH ATRIAL FIBRILLATION

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