Psychological effects of treatment with new oral anticoagulants in elderly patients with atrial fibrillation: a preliminary report

Background and aims Atrial fibrillation (AF) is the most common arrhythmia in elderly people, yet oral anticoagulation is underused in the aged. We tried to determine whether new oral anticoagulants (NOA) have greater psychological tolerability than warfarin. Methods Age-, gender-matched groups of A...

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Published in:Aging clinical and experimental research 2015-02, Vol.27 (1), p.99-102
Main Authors: Fumagalli, Stefano, Cardini, Francesca, Roberts, Anna T., Boni, Serena, Gabbai, Debbie, Calvani, Silvia, Casalone Rinaldi, Marta, Manetti, Stefania, Tarantini, Francesca, Marchionni, Niccolò
Format: Article
Language:English
Subjects:
Administration, Oral
Aged
Aged, 80 and over
Anticoagulants
Anticoagulants - therapeutic use
Atrial Fibrillation - drug therapy
Atrial Fibrillation - psychology
Cardiac arrhythmia
Female
Geriatrics/Gerontology
Humans
Male
Medicine
Medicine & Public Health
Patient Satisfaction
Short Communication
Stress, Psychological - etiology
Warfarin - therapeutic use
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Summary:Background and aims Atrial fibrillation (AF) is the most common arrhythmia in elderly people, yet oral anticoagulation is underused in the aged. We tried to determine whether new oral anticoagulants (NOA) have greater psychological tolerability than warfarin. Methods Age-, gender-matched groups of AF patients receiving NOA ( N  = 15) or warfarin ( N  = 15) were assessed with the Anti-Clot Treatment Scale (ACTS) and the Perceived Stress Scale (PSS). Results Patients were old (81 ± 9 years). NOA group showed greater psychological satisfaction, with lower therapy-related burden (ACTS burdens: 16.3 ± 4.5 vs. 32.9 ± 10.2, p  
ISSN:1720-8319
1594-0667
1720-8319
DOI:10.1007/s40520-014-0243-x