Which NVAF patients are candidates for NOACs? - PowerPoint PPT Presentation

Which nvaf patients are candidates for noacs
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Which NVAF patients are candidates for NOACs?. Good candidates Have NVAF and meet CHADS2 criteria for anticoagulation AND ≥1 of the following Poor INR control in spite of good compliance with warfarin Unusual difficulty with regular INR checks True warfarin allergy

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Which NVAF patients are candidates for NOACs?

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Which nvaf patients are candidates for noacs

Which NVAF patients are candidates for NOACs?

  • Good candidates

    • Have NVAF and meet CHADS2 criteria for anticoagulation AND ≥1 of the following

      • Poor INR control in spite of good compliance with warfarin

      • Unusual difficulty with regular INR checks

      • True warfarin allergy

      • Understand disadvantages and are willing to trade them for convenience of no lab monitoring

  • Less compelling candidates

    • Have indications other than NVAF for anticoagulation or an unacceptable risk-benefit ratio for warfarin use

    • Are stable on warfarin with TTR > 72%

    • Have CrCl < 30 ml/min

    • Have poor INR control due to poor compliance

    • Age ≥ 75 yoa?

    • History of cardiac disease?

    • History of GI bleed?


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