July 14, 2020Journal of the American College of Cardiology
2020 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants
Key Points
- This work aims to provide a comprehensive approach to managing bleeding complications in patients on oral anticoagulants.
- Developed expert consensus recommendations based on current evidence and clinical practices.
- Focused on risk assessment and injury management for patients on anticoagulants.
- Provided guidance on anticoagulant reversal strategies.
- Outlined best practices for immediate management of bleeding.
- Identified key markers for assessing bleeding risk among patients.
- Promoted consistent protocols for anticoagulant management to improve patient outcomes.
Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“The proliferation of oral anticoagulants (warfarin and DOACs) and growing indications for their use prompted the need for guidance on the management of these drugs. This document provides guidance on management at the time of a bleeding complication. This includes acute management, starting and stopping drugs, and use of reversal agents.”
“The intent of this document was to provide a framework for clinical decision making around the management of bleeding for those on oral anticoagulant therapy.”
Implication
Provides actionable strategies for managing anticoagulant-related bleeding; extends expert consensus while awaiting prospective validation.
Abstract
No abstract was published with this document — society guidelines, consensus pathways, and scientific statements are typically released without one. See the Key Points and the linked PDF for the full content.
Coverage & sources
Journal, society, and media accounts. Useful signal, not independent expert judgment.
Discussion
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Cite This Study
Tomaselli et al. (2020) studied this question. The 2020 ACC Expert Consensus Decision Pathway outlines standardized clinical strategies for the management of bleeding in patients taking oral anticoagulants.