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The ABCs of Anticoagulation

Anticoagulants are a therapeutic mainstay of atrial fibrillation (Afib) and thromboembolism. Anticoagulation options have greatly expanded over the past few years with the development of direct oral anticoagulants (DOACs), but use of these agents requires familiarity with their indications and risks/benefits. Join Dr. Shapiro for a brief overview of the ABCs of anticoagulation.

Brian Shapiro, MD
Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
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Brian Shapiro, MD
Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
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68 Comments, last 14 days ago
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Brian Shapiro, MD
Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
Latest Comments
"Dr. Shapiro;

Great presentation with summary on this topic. I have given it a 5 star.

 I have two Questions:

1. 68 year old female with Hypertension and bicuspid Aortic Valve stenosis in sinus rhythm gets a bio-prosthetic Aortic Valve 2 months ago. Two (2) month post op visit for first time she is in spontaneous Atrial Fibrillation. Can I use a NOAC since I do not feel that this is "valvular AF". Insurance company is declining payment for NOAC based on presence of a prosthetic valve !

2. 78 year old male with mechanical Aortic Valve placed 10 years ago has been stable  on Warfarin with INR in 2-3 range.. Should I add Aspirin 81 mg daily ? Should every mechanical Valve with AF needs additional Aspirin ? How about bio prosthetic Valve with AF ?

Thanks"
Anil Rastogi
68 Comments, last 14 days ago
 

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