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KMID : 0882420190940010057
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Korean Journal of Medicine
2019 Volume.94 No. 1 p.57 ~ p.82
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2018 Korean Heart Rhythm Society Guidelines for Non-Vitamin K Antagonist Oral Anticoagulants
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Park Yae-Min
Park Hyung-Wook
Lee Jung-Myung
Park Jin-Kyu
Lee Ki-Hong
Kim Jin-Bae
Lee Young-Soo
Joung Bo-Young
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Abstract
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Non-vitamin K antagonist oral anticoagulants (NOACs) are an alternative to vitamin K antagonists (VKAs) and have emerged as the treatment of choice in Korea. However, several questions remain regarding the optimal use of these agents in specific clinical situations. In this paper we discuss 1) patients with atrial fibrillation (AF) and coronary artery disease, 2) avoiding confusion with NOAC dosing across indications, 3) cardioversion in a patient treated with a NOAC, 4) AF patients who present with acute stroke while on NOACs, 5) NOACs in special situations, 6) anticoagulation in AF patients with a malignancy, and 7) optimizing VKA dose adjustments.
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KEYWORD
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Atrial fibrillation, Non-vitamin K antagonist oral anticoagulants, Guideline
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