Atrial fibrillation in haemodialysis patients: Do the guidelines for anticoagulation apply?

Sisu, Roxana
September 2007
Maedica - a Journal of Clinical Medicine;2007, Vol. 2 Issue 3, p261
Academic Journal
The article presents a study on the role of anticoagulation guidelines in the atrial fibrillation (AF) in haemodialysis patients. The risk of hemorrhage due to vessel and platelet abnormalities associated with abnormal platelet adhesion and aggregation mechanisms are very high in haemodialysis patients because of the use of anticoagulants during dialysis. It states that the study demonstrated the distorted risk benefit profile of anticoagulation for AF in the haemodialysis population and as a result, the strong evidence for anticoagulating patients with AF may not be safely extrapolated to the haemodialysis population. It is also suggested that clinicians should exercise caution and individualize the risk-benefit profile of anticoagulation for AF for each patient.


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