Management of AF Patient Undergoing Cardiac Procedures in the NOAC Era for the Emergency Physician
Dr Andrew Black (Cardiologist Royal Hobart Hospital Tasmania)
Dr Scott Dunkley (Haematologist Royal Prince Alfred NSW)
The ED physician faces clinical challenges in atrial fibrillation patients requiring oral anticoagulation and urgent medical interventions. Some unstable AF patient may require urgent cardioversion, other AF patients may experience concurrent angina or Acute Coronary Syndrome(ACS). Doctors’ Andrew Black, Cardiologist (Royal Hobart Hospital, Tasmania), and Scott Dunkley, Haematologist (RPA, NSW) will cover these clinical conundrums to assist in decision making.
DOACs have become the standard of care for in anticoagulation for several disease states. The new CSANZ AF and THANZ VTE guidelines recommend DOACs in suitable patients for the prevention of stroke for NVAF and the treatment and prevention of recurrence for DVT and PE respectively.1,2
- Brieger D, Amerena J, Attia JR, Bajorek B, Chan KH, Connell C, Freedman B, Ferguson C, Hall T, Haqqani HM, Hendriks J. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Australian clinical guidelines for the diagnosis and management of atrial fibrillation 2018. Medical Journal of Australia. 2018 Oct;209(8):356-62.
- Tran HA, Gibbs H, Merriman E, Curnow JL, Young L, Bennett A, Wee TC, Chunilal SD, Ward CM, Baker R, Nandurkar H. New guidelines from the Thrombosis and Haemostasis Society of Australia and New Zealand for the diagnosis and management of venous thromboembolism. Medical Journal of Australia. 2019 Mar;210(5):227-35.