Topics:
Pulmonology • Critical Care
Do you routinely start full dose anticoagulation in new onset atrial fibrillation in the ICU?
Answer from: at Community Practice
Yes.
(Based on CHADS2 + Absence of absolute contraindications, i.e., active uncontrolled bleeding or coagulopathy.)
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Answer from: at Academic Institution
Case-to-case basis based on the underlying cause and bleeding risk. I don't as readily in patients where it's driven by sepsis: Walkey et al., PMID 27487456