Atrial Fibrillation Case Summary

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Detailed chart review of Atrial Fibrillation patients using a Veterans Health Administration (VHA) facility in 2003 looked to determine whether atrial fibrillation (AF) patients with mental health conditions (MHCs) were less likely than AF patients without MHCs to be prescribed warfarin and, if receiving warfarin, to maintain an International Normalized Ratio (INR) within the therapeutic range. Warfarin-eligible AF patients with mental health conditions were substantially less likely than those without MHC to receive warfarin, even after controlling for age and comorbidity. This is of potential concern, since stroke risk factors were greater in AF patients with mental health conditions than in those without MHC. When prescribed warfarin,

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