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What continuous duration of device defined atrial fibrillation burden warrants initiation of anticoagulation if the patient qualifies by CHA2DS2-vasc score?

2 Answers
Mednet Member
Mednet MemberInvited Expert
Cardiology · Weill Cornell Medical College of Cornell University
Answered on

The topic is very controversial and there is no agreement either on the continuous duration of a single episode or the total burden required to initiate AC. Most recommendations are expert opinions. I believe that 5 minutes is the most commonly accepted cutoff, which needs to be combined with an ass...

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Mednet Member
Mednet Member
Cardiology · Midwest Cardiology
Answered on

If there are multiple episodes of atrial fibrillation ranging in duration from 6 minutes to 6 hours with chadsvasc score of 2 or more, I would lean towards anticoagulation.

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