Question

A 72-year-old with AF on warfarin (INR goal 2-3) requires pacemaker implantation. Per CHEST 2022, what perioperative anticoagulation plan is preferred?

Accepted Answer

Continue warfarin without interruption

Answer

Stop warfarin and bridge with LMWH

Answer

Hold warfarin for 10 days with no bridging

Answer

Switch to DOAC briefly

Answer

Give vitamin K to normalise INR before procedure

Practice question

A 72-year-old with AF on warfarin (INR goal 2-3) requires pacemaker implantation. Per CHEST 2022, what perioperative anticoagulation plan is preferred?