For patients with atrial fibrillation (AF), maintaining a specific therapeutic range of the International Normalized Ratio (INR) is crucial for stroke prevention. This range, typically between 2.0 and 3.0, reflects the effectiveness of anticoagulant therapy, primarily vitamin K antagonists (VKAs) like warfarin, in reducing the risk of blood clot formation. An INR below the therapeutic range may not provide adequate protection, while an INR above the range increases the risk of bleeding complications.
Effective anticoagulation management in AF is vital due to the significantly increased risk of stroke associated with this irregular heart rhythm. The chaotic electrical activity in the atria can lead to blood pooling and clot formation, which can then travel to the brain, causing a stroke. Maintaining the correct INR range helps prevent this dangerous complication, significantly improving patient outcomes and quality of life. The establishment of target INR ranges represents a significant advancement in stroke prevention for AF patients.