Mednet Logo
CommunityCardiology

What is a reasonable atrial fibrillation percentage burden that would benefit from systemic anticoagulation for a patient with an elevated CHA₂DS₂-VASc score?

2 Answers
Mednet Member
Mednet MemberInvited Expert
Cardiology · NorthShore University HealthSystem
Answered on

Patients with implanted devices can have an accurate measure of their AF load which has raised the question of whether ANY AF should be anticoagulated. Healey et al., PMID 22236222 is often erroneously quoted as saying that 6 minutes is all that is needed. That was their cutoff for inclusion as subc...

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Cardiology · Endeavor Health
Answered on

The atrial fibrillation percentage burden can be a misleading figure as sometimes many brief episodes could equal one long episode in terms of total time in atrial fibrillation. No one has yet created a model that incorporates CHADS-VASC that adds the time in atrial fibrillation. My personal approac...

Join for free or sign in to see the full answer