Inadvertent bridging heparin therapy still used with DOACs

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

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