期刊
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
卷 68, 期 2, 页码 217-226出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2016.04.042
关键词
atrial fibrillation; directacting oral anticoagulant; parenteral anticoagulation; vitamin K antagonists
资金
- American College of Cardiology
- Spark Therapeutics
- T2 Biosystems
Interruption of oral anticoagulation (AC) for surgery or an invasive procedure is a complicated process. Practice guidelines provide only general recommendations, and care of such patients occurs across multiple specialties. The availability of direct oral anticoagulants further complicates decision making and guidance here is limited. To evaluate current practice patterns in the United States for bridging AC, a survey was developed by the American College of Cardiology Anticoagulation Work Group. The goal of the survey was to assess how general and subspecialty cardiologists, internists, gastroenterologists, and orthopedic surgeons currently manage patients who receive AC and undergo surgery or an invasive procedure. The survey was completed by 945 physicians involved in the periprocedural management of AC. The results provide a template for educational and research projects geared toward the development of clinical pathways and point-of-care tools to improve this area of health care. (C) 2016 by the American College of Cardiology Foundation.
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