Pacemaker and/or Defibrillator Implantation: Continued Warfarin Outperforms Bridging with Heparin
DOI:
https://doi.org/10.2015/hc.v9i1%20Sup.645Keywords:
pacemaker, defibrillator, oral anticoagulation, warfarin, heparinAbstract
Among patients undergoing pacemaker or implantable cardioverter-defibrillator (ICD) implantation, approximately 14-45% are on anticoagulation therapy. Recently updated guidelines from the American College of Chest Physicians have recommended use of bridging anticoagulation with therapeutic dose of subcutaneous low-molecularweight heparin or intravenous heparin in patients with mechanical heart valves, atrial fibrillation, or venous thromboembolism who are at moderate or high risk for thromboembolic events (estimated annual stroke risk >5%).
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