Focus on Anticoagulation Care

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New decision pathway for managing bleeding in patients on oral anticoagulants

KEY POINT

An expert consensus decision pathway on management of bleeding in patients on oral anticoagulants (i.e., vitamin K antagonists [VKA] or the newer direct oral anticoagulants [NOAC]) was released by the American College of Cardiology (ACC). The guidance focuses on severity of bleeding, acute medical and surgical management, need for reversal, and appropriateness of restarting anticoagulation.