PT - JOURNAL ARTICLE AU - Tracy Hagerty AU - Michael W. Rich TI - Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance AID - 10.3949/ccjm.84a.16016 DP - 2017 Jan 01 TA - Cleveland Clinic Journal of Medicine PG - 35--40 VI - 84 IP - 1 4099 - http://www.ccjm.org/content/84/1/35.short 4100 - http://www.ccjm.org/content/84/1/35.full SO - Cleve Clin J Med2017 Jan 01; 84 AB - Guidelines for managing atrial fibrillation recommend systemic anticoagulation for almost all patients age 65 and older, but in practice up to 50% of older patients do not receive maintenance anticoagulation therapy. The most common reason physicians cite for withholding anticoagulation in older patients with atrial fibrillation is a perception of a high risk of falling and associated bleeding, especially intracranial hemorrhage.