How do you discuss the benefits and potential risks of anticoagulation for a strong indication (e.g., atrial fibrillation with high CHA2DS2-Vasc score) with older adult patients with frequent falls?
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How frequently do you recommend left atrial appendage occlusion (LAAO) device for older adults with high CHADSVA2SC2 who cannot tolerate long-term anticoagulation due to absolute contraindications?
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1 Answer
Mednet MemberInvited Expert
Geriatric Medicine · University of California San Francisco
Answered on
Current guidelines from AHA/ACC emphasize that oral anticoagulants should not be withheld simply because a patient is at risk of falling.
Instead, I try to manage involving shared decision-making with the patient or DPOA that weighs stroke risk against modifiable bleeding and fall risk factors( with ...
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