- Page navigation anchor for RE: Research into practice: management of atrial fibrillation in general practiceRE: Research into practice: management of atrial fibrillation in general practiceI enjoyed the review of the management of AF in practice by Fitzmaurice and Hobbs; it concisely covered the salient points on this hugely important topic .1 However, I would like to highlight one important aspect on the current management of AF and in particular relation to the use of noval oral anticoagulants. These are often (mis)described as "not needing monitoring". However, this should always be qualified with the statement that they "do not need INR monitoring". The patient must have their renal functioning infrequently and because of the short half life it is vital that the patient is regularly counselled about the importance of not missing doses.
My concern is that if these two points are missed more patient's might be started on these very new medications without the proper assessment and informed consent.
Reference
1. Fitzmaurice DA, Hobbs FDR. Research into practice: management of atrial fibrillation in general. Br J Gen Pract 2014; 64(627): 540-542
Competing Interests: None declared.