{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:11:30Z","timestamp":1791447090776,"version":"4.3.3"},"reference-count":52,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Atrial Fibrillation can be considered a geriatric syndrome for its prevalence and incidence, its impact on patients\u2019 quality of life, and Health Systems\u2019 economy. The European Society of Cardiology 2024 guidelines introduce a recommendation for maintaining vitamin K antagonist therapy over switching to direct oral anticoagulants in clinically stable elderly patients with atrial fibrillation. This article explores the implications of this indication for the geriatric clinical context. The focus will also be devoted to the need for the stratification of older patients with atrial fibrillation, making an appropriate distinction between frailty and disability.<\/jats:p>","DOI":"10.3390\/ijerph22020179","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T06:47:29Z","timestamp":1738046849000},"page":"179","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Atrial Fibrillation as a Geriatric Syndrome: Why Are Frailty and Disability Often Confused? A Geriatric Perspective from the New Guidelines"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8360-5173","authenticated-orcid":false,"given":"Crescenzo","family":"Testa","sequence":"first","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6798-2948","authenticated-orcid":false,"given":"Marco","family":"Salvi","sequence":"additional","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7048-080X","authenticated-orcid":false,"given":"Irene","family":"Zucchini","sequence":"additional","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Cattabiani","sequence":"additional","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4119-9397","authenticated-orcid":false,"given":"Francesco","family":"Giallauria","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Sciences, \u201cFederico II\u201d University of Naples, Via S. Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Petraglia","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Sciences, \u201cFederico II\u201d University of Naples, Via S. Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Leosco","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Sciences, \u201cFederico II\u201d University of Naples, Via S. Pansini 5, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulvio","family":"Lauretani","sequence":"additional","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Maggio","sequence":"additional","affiliation":[{"name":"Geriatric Clinic Unit, University Hospital of Parma, Via Gramsci 14, 43126 Parma, Italy"},{"name":"Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1111\/j.1532-5415.2007.01156.x","article-title":"Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept","volume":"55","author":"Inouye","year":"2007","journal-title":"J. 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