New approaches to stroke prevention in atrial fibrillation

Abstract

Atrial fibrillation (AF) is a leading cause of ischaemic stroke. Studies have shown that the link between AF and stroke is now beyond dispute. On average, AF increases a patient's stroke risk five-fold; moreover, one in five patients with stroke are found to have AF. This article aims to provide a comprehensive understanding of the approach to the identification and management of AF-related strokes. It also aims to support the current evidence that management of AF in acute and primary care through risk stratification and guidance in the use of anticoagulation is crucial in helping to prevent complications such as stroke. In their daily practice and through their increased knowledge of stroke and AF treatment, nurses have the opportunity to raise patients’ awareness of the devastating effect of stroke. With early detection and effective AF management, we can reduce the physical, psychological and financial burdens of stroke.