Is incentivising stroke prevention therapy in atrial fibrillation the key?

Heartbeat: heart failure induced by cancer therapy

“…What accounts for this remarkable improvement in stroke prevention in patients with AF? Sandhu and Ezekowitz8 suggest several possible explanations, in addition to guideline changes, including the availably of newer oral anticoagulant medications, financial incentives for optimal AF management, integration of guidelines in clinical flow and use of standardised order forms. Going forward, they argue that ‘additional simple and cost-effective strategies are needed to demonstrate an even higher use of direct oral anticoagulant (DOAC) in eligible patients, particularly those at moderate risk, minimise overtreatment and reduce practice variations that can be implemented in different healthcare systems where incentivising may not be an option.’…”