Rapid Review Afib: The Latest in Management Strategies - Clinical Spotlight Meeting on Demand-Panel Discussion: Challenging Cases in Practice

Video Transcription

Video Summary

The panel discussed several cases related to the management of atrial fibrillation (AFib). In case 1, a 65-year-old woman with persistent AFib and other medical conditions presented with increased dyspnea. The panel recommended rivaroxaban 15 mg daily with dinner as the best anticoagulation plan in the setting of her clopidogrel use. Case 2 involved a patient on dialysis who had a stroke while on warfarin with subtherapeutic INR. The panel recommended apixaban 2.5 mg twice daily as the appropriate anticoagulation strategy. Case 3 featured a patient with AFib who underwent stenting. The panel recommended continuing clopidogrel and apixaban indefinitely, with the possibility of de-escalation after one year. Case 4 involved a patient with a prior history of intracranial hemorrhage. The panel recommended left atrial appendage occlusion as the best next step. The discussion also touched on the use of catheter ablation and antithrombotic therapy after Watchman implantation.

Keywords

atrial fibrillation

anticoagulation plan

clopidogrel

stroke

warfarin

stenting