Anticoagulation guidelines should be updated soon (probably early next year), the novel anticoagulants will be reflected and their use should be boosted. http://www.nice.org.uk/usingguidance/commissioningguides/anticoagulationtherapyservice/anticoagulationtherapyservice.jsp http://www.escardio.org/about/press/press-releases/esc12-munich/Pages/atrial-fibrillation-guidelines.aspx