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The ABCs of Anticoagulation

Anticoagulants are a therapeutic mainstay of atrial fibrillation (Afib) and thromboembolism. Anticoagulation options have greatly expanded over the past few years with the development of direct oral anticoagulants (DOACs), but use of these agents requires familiarity with their indications and risks/benefits. Join Dr. Shapiro for a brief overview of the ABCs of anticoagulation.

Brian Shapiro, MD
Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
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Expert Presentations
Brian Shapiro, MD Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
(182)
72 Comments
Brian Shapiro, MD Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
(61)
46 Comments
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Controlling Bleeding Risk
Brian Shapiro, MD Associate Professor of Medicine & Radiology, Director, Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Florida
Latest Comments
"This was an exceptional, well-organized, succinct presentation entitled  “Bridging/Perioperative MGT: Anticoagulation Update.” An interesting and informative program where you provided detailed information regarding two case histories with information to assist PCPs with the regulation of anticoagulation therapy prior to scheduling a colonoscopy or other surgeries. 

You elaborated upon the risks and options which should be addressed with patients prior to surgery.  You meticulously explained the risks of bleeding the thromboembolism – CHA2DS2-VASc score for AR stroke risk. Additionally, you explained each step on how to determine the procedural bleeding risk low to high - scope endoscopy versus an open procedure with regard to determining the patient bleeding risk HAS-BLEDscore > or = to high risk of bleeding, determining when to start and stop the anticoagulation, determining if bridging is necessary choosing bridging therapy for high risk throboembolism preprocedural bridging and postprocedural bridging instructions for pts to follow.  Furthermore, you reviewed special circumstances for valvular and nonvalvular AF with continue anticoagulation and urgent or emergent procedures to reverse anticoagulation.

Great thought provoking questions which offers learners the skills necessary to treat patients. The questions also provided a way for learners to stay focused to the information. You provided immediate feedback with rationales for the various options offered. This type of learning increases the learner’s knowledge level where s/he can review any incorrect details.

Thanks,

Valerie Ting, APRN, FNP-BC

Does the gastroenterologist or the PCP instruct the pt on the preprocedural and postprocedural bridging directions to follow?"
Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
46 Comments
"Very good and very interesting activity-topic, always present in general practice -ED. Congratulations dr Shapiro."
Basil F Hermo-Mosqueira, MD
Physician Internal Medicine, Private practitioner Dietitian´s School
72 Comments

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