Inadvertent heparin bridging therapy still being used with DOACs

Unnecessary and potentially harmful duplicate anticoagulation with direct-acting oral anticoagulants (DOACs) and heparin is inadvertently being prescribed in hospital settings, a cardiologist warns. While heparin was appropriately used as bridging therapy for patients started on warfarin, it is not necessary with DOACS whose anticoagulant effects are more immediate, according to Dr Mark Sheppard, a cardiologist ...

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