Direct Oral Anticoagulants in Atrial Fibrillation: Practical Considerations and Remaining Issues
Jan Beyer-Westendorf · Zeitschrift für Orthopädie und Unfallchirurgie · 2021 · Heft 01 · S. 035-041
Bibliografische Angaben
Zusammenfassung
AbstractPreventing thromboembolic events, while minimizing bleeding risks, remains challenging when managing patients with atrial fibrillation. Despite large and successful trial programs, several clinical concerns remain which commonly relate to fears of over- or underexposure to drugs and unfavorable outcomes. After a short summary of the main phase III trial findings, this short review discusses the evidence and clinical relevance of common clinical concerns (correct direct oral anticoagulant [DOAC] dosing; DOAC in moderate-to-severe renal impairment; and the relevance of fasting, nasogastric tube feeding, or…