Timing of anticoagulation restart after serious bleeding in atrial fibrillation

Restarting DOACs early after a serious bleeding event in AF patients may reduce stroke risk but is associated with an increased risk of recurrent bleeding. DOAC monotherapy appears to offer the best stroke protection, though with elevated bleeding risk. These findings highlight the need for individualised decision-making and further trials to define optimal timing for DOAC resumption.

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Publication Details

Journal
Heart
Published
2025-07-16
DOI
https://doi.org/10.1136/heartjnl-2024-325343
Citations
1
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
Field-Weighted Citation Impact
1.39
Controls
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article

Timing of anticoagulation restart after serious bleeding in atrial fibrillation

Nour R. Al‐Hussainy, Gregory Y.H. Lip, Manan Pareek, Søren Lundbye‐Christensen et al.
1 citations
Heart
Atrial Fibrillation Management and Outcomes
1.39
article

Timing of anticoagulation restart after serious bleeding in atrial fibrillation

Nour R. Al‐Hussainy, Gregory Y.H. Lip, Manan Pareek, Søren Lundbye‐Christensen, Sam Riahi, Kristian Hay Kragholm, Christian Torp-Pedersen, Susette Krohn Therkelsen
article en
1 citations

Abstract

Restarting DOACs early after a serious bleeding event in AF patients may reduce stroke risk but is associated with an increased risk of recurrent bleeding. DOAC monotherapy appears to offer the best stroke protection, though with elevated bleeding risk. These findings highlight the need for individualised decision-making and further trials to define optimal timing for DOAC resumption.

HeartVol. 112(5)
University of Liverpool (GB), Aalborg University Hospital (DK), Rigshospitalet (DK), Holbæk Sygehus (DK), Aalborg University (DK)
Good health and well-being
Openalex Percentile: Top 17%
Atrial Fibrillation Management and Outcomes
1.39
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Timing of anticoagulation restart after serious bleeding in atrial fibrillation — Nour R. Al‐Hussainy, Gregory Y.H. Lip, et al. · Heart (2025) | TGRS Research Map | TGRS