Pacemaker and/or Defibrillator Implantation: Continued Warfarin Outperforms Bridging with Heparin

Authors

  • Dimitrios D. Manolatos Department of Cardiology, Evagelismos Hospital, Athens, Greece

DOI:

https://doi.org/10.2015/hc.v9i1%20Sup.645

Keywords:

pacemaker, defibrillator, oral anticoagulation, warfarin, heparin

Abstract

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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Published

2014-05-20

Issue

Section

ATHENS CARDIOLOGY UPDATE 2014