[Comment] The impact of IMPACT-AF
We are living in an era when the science of medicine has never been better. Medical textbooks are regularly being updated and rewritten to accommodate advances. However, scientific advances are often not translated into medical practice or medical education. With a global burden in excess of 30 million people, atrial fibrillation could be considered a modern-day epidemic.1 But evidence shows that physicians considering anticoagulation treatments for patients are more influenced by the events they induce (bleeds) than the events potentially prevented, in this case devastating strokes.