Once AF has been diagnosed the immediate steps are to:1
- Offer people with AF a personalised package of care
- Assess stroke and bleeding risks using the CHA2DS2-VASc and HAS-BLED scores, respectively
- Offer anticoagulation to people with a CHA2DS2-VASc score of 2 or above, taking bleeding risk into account
- Offer rate or rhythm control, as appropriate
Refer patients promptly (within 4 weeks) at any stage if treatment fails to control the symptoms of AF and more specialised management is needed.1
Click here to view ELIQUIS (apixaban) prescribing and adverse event reporting information.
AF = Atrial Fibrillation CHA2DS2-VASc = Congestive Heart Failure, Hypertension, Age (double if ≥75), Diabetes, Stroke or TIA (double), Vascular disease, Sex HAS-BLED = Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol
- NICE. CG180. 2014. Available at: https://www.nice.org.uk/guidance/cg180. Accessed August 2019.
Job code: 432UK1900440-01
Date of preparation: September 2019