Sara Nelson on anticogulation around cardioversion #StoweEM20
multiple long and short term reason for clot formation, risk greatest in near term #StoweEM20 by Dr. Sara Nelson
risk of CVA occurs with spontaneous cardioversion, medical cardioversion, *or* DCCV. #StoweEM20 by Dr. Sara Nelson
classic teaching is 48hr window for elective cardioversion. #StoweEM20 by Dr. Sara Nelson
even if pts present in <48 hrs, patients may still have CVA within a month. #StoweEM20 by Dr. Sara Nelson
2019 guidelines: leave some gaps in recommendations. apixiban may start working in 2-4 hr #StoweEM20 by Dr. Sara Nelson
risk of bleeding from NOACs may be favorable vs warfarin. ORBIT score included NOACs so maybe more valid here. #StoweEM20 by Dr. Sara Nelson
which NOAC? apixiban may be easier to dose & less renal clearance #StoweEM20 by Dr. Sara Nelson
take-home messages on peri-DCCV anticoagulation #StoweEM20 by Dr. Sara Nelson
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