General comments about thromboprophylaxis use in patients with AF |
“new agent dabigatran easier to manage patients” |
“If medical officers have had a patient with a bleed, I find it makes them more cautious with subsequent patients” |
“Some INR levels are very hard to control despite well-educated and compliant patient. Need new ideas i.e. Watchman LAA devices” |
“It’s variable and physician choice” |
“Until an antidote is developed for the newer anticoagulants we don’t use them. In some rare cases we do but often last choice” |
“Dr’s do all the decision making. Uses CHADS 2 / CHA 2 DS 2 VASc” |
“Quick uptake of NOAC agents but often without evidence (e.g. prosthetic valves & AF)” |