Resuming anticoagulation after hemorrhage: A practical approach

Most patients who suffer a hemorrhage while on long-term anticoagulant therapy continue to be at risk of thrombosis. Physicians often need to reconsider the need for anticoagulation in view of the risk of recurrent bleeding, and when anticoagulation needs to be resumed, they must also consider the t...

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Veröffentlicht in:Cleveland Clinic journal of medicine 2015-04, Vol.82 (4), p.245-256
Hauptverfasser: Colantino, Alison, Jaffer, Amir K, Brotman, Daniel J
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creator Colantino, Alison
Jaffer, Amir K
Brotman, Daniel J
description Most patients who suffer a hemorrhage while on long-term anticoagulant therapy continue to be at risk of thrombosis. Physicians often need to reconsider the need for anticoagulation in view of the risk of recurrent bleeding, and when anticoagulation needs to be resumed, they must also consider the timing and strategy. Since there are no evidence-based guidelines for these situations, the authors of this paper offer a practical framework for individualizing the resumption of anticoagulation after hemorrhage.
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subjects Anticoagulants - adverse effects
Anticoagulants - therapeutic use
Gastrointestinal Hemorrhage - chemically induced
Gastrointestinal Hemorrhage - epidemiology
Global Health
Humans
Incidence
Practice Guidelines as Topic
Risk Factors
Thromboembolism - prevention & control
Withholding Treatment
title Resuming anticoagulation after hemorrhage: A practical approach
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