Response by Halperin and Savino to Letter Regarding Article, “Should Patients with Atrial Fibrillation and 1 Stroke Risk Factor (CHA2DS2-VASc Score 1 in Men, 2 in Women) Be Anticoagulated? The CHA2DS2-VASc 1 Conundrum: Decision Making at the Lower End of the Risk Spectrum”
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We appreciate the comment by Asinger et al about the seemingly falling rates of stroke among patients with nonvalvular atrial fibrillation and potential implications for risk stratification. As mentioned in our article, the overall incidence of stroke has declined, and while the reasons are not clear and are possibly multiple, greater appreciation and …