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Atrial fibrillation

  • Quality standard
  • Reference number: QS93
  • Published:  09 July 2015
  • Last updated:  07 February 2018
  • Quality standard
  • Tools and resources
  • History
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  • Overview
  • Quality statements
  • Quality statement 1: Anticoagulation to reduce stroke risk
  • Quality statement 2: Use of aspirin
  • Quality statement 3: Discussing options for anticoagulation
  • Quality statement 4: Anticoagulation control
  • Quality statement 5: Referral for specialised management
  • Quality statement 6 (developmental): Self‑monitoring of anticoagulation
  • Update information
  • About this quality standard

Update information

February 2018: The source guidance and definitions for statement 6 have been updated to ensure alignment with the updated NICE diagnostics guidance on self-monitoring coagulation status using point-of-care coagulometers (the CoaguChek XS system). In statement 3, the rationale and definition sections have been changed to include edoxaban as an option for anticoagulation to reflect NICE technology appraisal guidance on edoxaban for preventing stroke and systemic embolism in people with non-valvular atrial fibrillation.

Minor changes since publication

June 2021: Further information was added to bleeding risk score in the definitions section of statement 1.

April 2021: Source guideline recommendation numbers were updated throughout and definitions for statements 1 and 2 were amended in line with the updated NICE guideline on atrial fibrillation.


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