Managing anticoagulation in patients receiving implantable cardiac devices

Author: Mangrolia Neil   Nayar Vikrant   Pugh Peter J  

Publisher: Future Medicine

ISSN: 1479-6678

Source: Future Cardiology, Vol.8, Iss.3, 2012-05, pp. : 393-411

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Previous Menu Next

Abstract

A substantial proportion of patients who undergo cardiac rhythm device implantation receive anticoagulation to prevent thromboembolism. Many patients have coexisting cardiovascular diseases treated with antiplatelet therapy. Anticoagulation may increase the risk of hemorrhagic complication, while withdrawal of anticoagulation may increase thromboembolic risk. In this article, we review and describe the available evidence, in order to inform best practice.