Atrial fibrillation / anticoagulation
Atrial fibrillation / anticoagulation · ICD-10: I48.91, Z79.01
Symptoms
- • Rapid, irregular or pounding pulse; palpitations
- • Dizziness or fainting
- • Fatigue, weakness, reduced exercise tolerance
- • Shortness of breath and anxiety
- • Confusion
Drugs and regimens
Non-valvular AF — 5 mg twice daily
Non-valvular AF — 150 mg twice daily
Conversion/maintenance of sinus rhythm in AF/AFL — by CrCl: >60 → 500 mcg; 40–60 → 250; 20–<40 → 125 mcg twice daily
Reduce hospitalisation in paroxysmal or persistent (non-permanent) AF — 400 mg twice daily with meals
Non-valvular AF — CrCl 50–95: 60 mg once daily
PAF or PSVT — 50 mg every 12 h, +50 mg twice daily every 4 days, max 300 mg/day
Paroxysmal AF without structural heart disease — 150 mg every 8 h (up to 900 mg/day)
Non-valvular AF — 20 mg once daily with the evening meal
Maintenance of sinus rhythm in AF/AFL — start 80 mg twice daily; most respond to 120 mg twice daily
Oral anticoagulation — INR-guided
Children