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What decides whether to take coumadin or aspirin when diagnosed with a-fib?
Wiki User
∙ 15y ago
In 2006 guidelines were published by the American Heart Assoc, American College of Cardiology and the European Society of Cardiology
1) They ENDORSED the use of WARFARIN (COUMADIN) for patients with a CHADS score of 2 or greater.
2) Patients with a CHADS score of 1 may be treated with aspirin OR coumadin
3) Patients with a score of 0 (lone afib) may be treated with aspirin
Remember: patients undergoing cardioversion need anticoagulation regardless of CHADS score
HERE ARE THE DETAILS ABOUT THE CHADS SCORE:
Congestive Heart Failure (past or present) 1 point
Hypertension (>160/90, past or present) 1 point
Age >=75 1 point
Diabetes 1 point
Stroke or TIA (past or present) 2 points
Wiki User
∙ 15y ago
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