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185821 - How to Treat quiz: NOACs in non-valvular atrial fibrillation

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How to Treat quiz: NOACs in non-valvular atrial fibrillation

Relevance to General Practice

All NOACs available in Australia appear to be generally safe and effective alternatives to warfarin. ‘Real-world’ data suggest no significant differences for ischaemic stroke between NOACs and warfarin. NOACs seem to confer a risk reduction in prevention of haemorrhagic stroke, a serious complication of oral anticoagulation use.
Based on ‘real-world’ evidence, it appears that among patients treated with standard-dose NOAC for NVAF, dabigatran and apixaban generally appear to have a more favorable benefit-harm profile than rivaroxaban.
Anticoagulants do not create bleeds but increase the intensity of bleeding. Using specific reversal agents (for example, idarucizumab) is not a guarantee for improved clinical outcomes as it does not address the underlying cause of bleeding.

Learning outcomes
  • Discuss the advantages and disadvantages of the vitamin K antagonist and NOAC anticoagulants.
  • Implement the CHA2DS2-VASc score into clinical practice.
  • Tailor anticoagulation based on patient individual characteristics.
  • Describe how to manage a bleed in a patient taking a NOAC.
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Ways in which health can be optimised and maintained are communicated to patients, family members and carers

    D2. Applied professional knowledge and skills

    • Rational prescribing and medication monitoring is undertaken

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    185821 - How to Treat quiz: NOACs in non-valvular atrial fibrillation
    Provider Type
    Education Provider
    1 hr
    Start Date
    End Date
    CPD Points
    2 cpd
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