For junior doctors
How to Decide on anticoagulant for Atrial Fibrillation
Follow this steps
You need to calculate the CHA2DS-VASc score first
This is how you calculate a CHA2DS-VASc score
How to Decide on anticoagulant for Atrial Fibrillation
Follow this steps
You need to calculate the CHA2DS-VASc score first
This is how you calculate a CHA2DS-VASc score
If CHAD2DS-VASc score=
1(male) or 2 (female) = OAC should be considered (Class iia)
>2 (male) or >3 (female) + OAC is recomended (Class 1A)
OAC : oral anticoagulant
1(male) or 2 (female) = OAC should be considered (Class iia)
>2 (male) or >3 (female) + OAC is recomended (Class 1A)
OAC : oral anticoagulant
Do you understand about the class of recommendation?
Just a little bit about it, because it is important for you guys to know it.
Class 1 means: it is recommended
class II: conflicting evidence or divergent opinion about the usefulness of the given treatment
Just a little bit about it, because it is important for you guys to know it.
Class 1 means: it is recommended
class II: conflicting evidence or divergent opinion about the usefulness of the given treatment
Level of evidence is important to know
Level A: means data derived from multiple randomized control trials or meta analyses
level B: Data derived from a single randomized clinical trial or large non-randomization studies
so between level of evidence, the superiority is huge
Level A: means data derived from multiple randomized control trials or meta analyses
level B: Data derived from a single randomized clinical trial or large non-randomization studies
so between level of evidence, the superiority is huge
Ok, now the interesting part
How if the HASBLED score is more than 3?
can we prescribe the OAC?
Look at the image and try to think before going to next thread
How if the HASBLED score is more than 3?
can we prescribe the OAC?
Look at the image and try to think before going to next thread
The answer will be
If the score is >3, list all the points
look which one is modifiable
e.g :
uncontrolled HPT-> reduced the blood pressure
Drugs or excessive alcohol-> revised medications and lifestyle changes
Logic right? making it simpler you guys😉
If the score is >3, list all the points
look which one is modifiable
e.g :
uncontrolled HPT-> reduced the blood pressure
Drugs or excessive alcohol-> revised medications and lifestyle changes
Logic right? making it simpler you guys😉
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