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Do you routinely start full dose anticoagulation in new onset atrial fibrillation in the ICU?

2 Answers
Mednet Member
Mednet Member
Pulmonology · Geisinger Healthplex State College PA

Yes.

(Based on CHADS2 + Absence of absolute contraindications, i.e., active uncontrolled bleeding or coagulopathy.)

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Mednet Member
Mednet Member
Pulmonology · Medical University of South Carolina

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

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Do you routinely start full dose anticoagulation in new onset atrial fibrillation in the ICU? | Mednet