Clinical Perspectives on Stroke Prevention in Patients with Non-valvular Atrial Fibrillation in the Philippines.

Stroke prevention in patients with non-valvular atrial fibrillation (NVAF) is a public health priority in the Philippines. This paper aims to assess the existing gaps in stroke prevention and management for patients with NVAF in the Philippines. It focuses on identifying stroke risk, evaluating barriers to care, and ensuring treatment adherence. Barriers such as financial constraints, lack of awareness, and difficulties in accessing healthcare facilities hinder timely diagnosis and proper management. Despite the availability of stroke-ready hospitals, gaps in stroke care infrastructure, including a shortage of specialized healthcare professionals, continue to affect patient outcomes and delay intervention. To improve stroke prevention in patients with NVAF, a comprehensive strategy is needed. This approach should focus on enhancing healthcare infrastructure, expanding public and healthcare provider education, and addressing disparities in care. Furthermore, ensuring access to effective pharmacological options is essential. Non-vitamin K oral anticoagulants, which may be more suitable for resource-limited settings, offer advantages such as reduced risk of bleeding and minimal monitoring requirements. A patient-centric approach that prioritizes adherence and access to pharmacological treatments can help reduce the stroke burden and improve long-term outcomes for patients with NVAF in the Philippines.