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KMID : 0882420190940010040
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Korean Journal of Medicine
2019 Volume.94 No. 1 p.40 ~ p.56
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The 2018 Korean Heart Rhythm Society Practical Guidelines on the use of Non-Vitamin K-Antagonist Oral Anticoagulants: Bleeding Control and Perioperative Management
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Lee Ji-Hyun
Lim Hong-Euy
Lim Woo-Hyun
Ahn Jin-Hee
Cha Myung-Jin
Park Jun-Beom
Lee Ki-Hong
Park Whoan-Cheol
Choi Eue-Keun
Joung Bo-Young
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Abstract
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Although non-vitamin K-antagonist oral anticoagulants (NOACs) reduce major bleeding events in patients with atrial fibrillation more effectively than does warfarin, a significant bleeding risk remains. Patients exhibiting current bleeding and those who are expected to bleed require appropriate management, because NOAC discontinuation may increase the thromboembolic risk. This article details general management principles for patients experiencing current bleeding and those undergoing invasive surgery while on NOACs.
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KEYWORD
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Atrial fibrillation, Anticoagulants, Guideline, Perioperative care, Hemorrhage
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