title: [What Are the Realities of Prescription and Control of Antithrombotic Therapy in Atrial Fibrillation in Outpatient Practice?]
abstract: We analyzed documentation of 648 outpatients with nonvalvular atrial fibrillation receiving ambulatory care in 3 cities in Russia (Moscow, Krasnodar, and Bryansk). Frequency of use of any anticoagulant in patients with AF and high risk of stroke and systemic embolism was low (30.9% overall, novel oral anticoagulants - 5.7%). But portions of patients who according to documents received antiaggregants or no antithrombotic drugs at all were high (53.6 and 13.4%, respectively). Among patients receiving warfarin only 19.6% checked international normalized ratio (INR) every month while 75% did it once in 3 months or rarer or did not control this parameter at all. Among patients in whom INR control was sufficiently regular only in 44% percentage of time in the therapeutic range exceeded 60%. Thus persistent effective anticoagulation was achieved only in 12.6% of warfarin treated outpatients.
authors.affiliation: 1National Research Center for Preventive Medicine, Moscow, Russia; 2Kuban State Medical University, Krasnodar, Russia; 3Cardiologic Dispensary of Bryansk Region, Bryansk, Russia.
authors.forename: R M
authors.initials: RM
authors.lastname: Linchak
authors.affiliation: 1National Research Center for Preventive Medicine, Moscow, Russia; 2Kuban State Medical University, Krasnodar, Russia; 3Cardiologic Dispensary of Bryansk Region, Bryansk, Russia.
authors.forename: O G
authors.initials: OG
authors.lastname: Kompaniets
authors.affiliation: 1National Research Center for Preventive Medicine, Moscow, Russia; 2Kuban State Medical University, Krasnodar, Russia; 3Cardiologic Dispensary of Bryansk Region, Bryansk, Russia.
authors.forename: A M
authors.initials: AM
authors.lastname: Nedbaykin
authors.affiliation: 1National Research Center for Preventive Medicine, Moscow, Russia; 2Kuban State Medical University, Krasnodar, Russia; 3Cardiologic Dispensary of Bryansk Region, Bryansk, Russia.
authors.forename: D S
authors.initials: DS
authors.lastname: Komkov
authors.affiliation: 1National Research Center for Preventive Medicine, Moscow, Russia; 2Kuban State Medical University, Krasnodar, Russia; 3Cardiologic Dispensary of Bryansk Region, Bryansk, Russia.
authors.forename: I A
authors.initials: IA
authors.lastname: Yusova