By rray, 26 January, 2024 Contraindications to long term anticoagulation nbsp nbsp Severe bleeding due to a nonreversible cause involving the GI pulmonary or GU systems nbsp nbsp Spontaneous intracranial intraspinal bleeding due to a nonreversible cause nbsp nbsp Serious bleeding
By rray, 26 January, 2024 Evaluate for bleeding risks prior bleeding anemia meds Bleeding risk scores perform poorly Do not use in isolation ESC recommends HAS BLED score 1
By rray, 26 January, 2024 Use validated score e g CHA2DS2 VASc If male pt w CHA2DS2 VASc score of 1 or female pt w CHA2DS2 VASc score of 2 remains uncertain about the benefit of anticoagulation consider other factors that might modify their stroke risk to help inform the decision
By rray, 26 January, 2024 Consider screening for OSA Role of tx of sleep disordered breathing to maintain SR is unclear
By rray, 26 January, 2024 Caffeine abstention has no benefit in preventing AF but may reduce sx in pts who report caffeine as trigger