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NOTE: This activity was presented on November 10, 2010, in conjunction with ASCP's Annual Meeting and Exhibition. Approximately 2.2 million people in the United States have been diagnosed with atrial fibrillation (AF), the most common cardiac arrhythmia, and the risk of stroke in these patients is substantial. Senior care pharmacists play an important role on the clinical team in ensuring that older adults with AF benefit from optimal anticoagulation to prevent stroke. This educational activity is designed to meet the needs of consultant and senior care pharmacists. Outline ways to improve the risk assessment process and documentation for older adults with atrial fibrillation who reside in long-term care settings. Define the optimal anticoagulant strategy for an older adult with atrial fibrillation based on available therapies. Identify ways to tailor treatment approaches to maximize anticoagulation efficacy and minimize adverse effects. Evaluate the potential role of emerging anticoagulant agents for the prevention of stroke in patients with atrial fibrillation.

In accordance with the standards set forth by the Accreditation Council for Pharmacy Education, it is the policy of the American Society of Consultant Pharmacists to ensure balance, independence, objectivity and scientific rigor in all of its educational activities including those which are sponsored and cosponsored. The American Society of Consultant Pharmacists (ASCP) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Participants must view the activity in its entirety, successfully complete the post-test, and submit an evaluation to receive continuing pharmacy education credit. Instructions for completing and submitting the post-test and evaluation are provided on the post-test screen. Neither the service provider nor the domain owner maintain any relationship with the advertisers. Participants who received credit for attending either the live presentation or the webcast on that date are not eligible to receive credit for this online activity. This activity will provide information to improve knowledge about risk assessment for stroke and anticoagulant strategies for older adults with AF to tailor treatments to maximize efficacy and minimize adverse events. Credit will be awarded for a score of 70% or better, and a statement may be printed immediately after passing the post-test.

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Because of the rapid and serious consequences of stroke, effective preventive treatment is of utmost importance to reduce disability and improve survival in elderly patients with AF. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Many older adults with AF who are at high risk of stroke continue to experience unnecessary risk for stroke due to inaccurate risk assessment and suboptimal anticoagulation therapy.

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