theMednet - In extremely obese patients with spontaneous DVT/PE who have been anticoagulated for > 6 months, do you feel comfortable reducing the DOAC to prophylactic dose or do you prefer continuing full dose indefinite anticoagulation?

Topics: Thrombosis • Hematology • Benign Hematology • Hemostasis/Thrombosis • Anticoagulation

In extremely obese patients with spontaneous DVT/PE who have been anticoagulated for > 6 months, do you feel comfortable reducing the DOAC to prophylactic dose or do you prefer continuing full dose indefinite anticoagulation?

BMI>40

Answer from: at Academic Institution

In extremely obese patients with unprovoked VTE, I prefer to continue full dose anticoagulation if they are tolerating it without any side effects, especially if they had an extensive VTE and have other cardiovascular risk factors. If there is any concern for bleeding risk or if the patient does no...

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