We present the case of an elderly woman which demonstrates how AF therapy in aged individuals is particularly challenging for the presence of complex conditions. The rhythm- or the rate control strategy must be carefully chosen based on individual risk profile. Oral anticoagulant therapy must be wisely managed to maximize benefits-in terms of stroke and dementia control-and to reduce complications.
Keywords: Anti-arrhythmic therapy; Atrial fibrillation; Elderly; New oral anticoagulants; Oral anticoagulants.