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Signa Vitae

Journal of Intensive Care and Emergency Medicine

What is new in the 2016 European Society of Cardiology atrial fibrillation guidelines?

Introduction

The present review seeks to highlight important changes in the recently published atrial fibrillation (AF) guidelines of the European Society of Cardiology (ESC) in comparison to previous recommendations, which are summarized as follows: (1)

Key words: atrial fibrillation, anticoagulation, cardioversion, multidisciplinary heart team

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Excessive anticoagulation identified by emergency medical service through point-of-care coagulometry

Abstract

Bleeding because of excessive anticoagulation is a well-recognized complication of coumadin therapy. In cases of potentially life-threatening bleeding such as intracranial haemorrhage, reversal of anticoagulation should be carried out as soon as possible. Here we report the case of an emergency patient in whom excessive anticoagulation was diagnosed at the scene by emergency medical service personnel through the use of a point-of-care coagulometer. Following hospital admission, findings were confirmed by central laboratory assessment of prothrombin time. The time gained through the use of portable coagulometers may contribute to improved pre-hospital emergency management of anticoagulated patients.

Key words: anticoagulation, bedside testing, warfarin, haemorrhage

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