A.fib/A. flutter: Anticoagulation principles

- 0 score = Low risk: no anticoagulants - 1 score = low-moderate risk: anti-platelet (aspirin OR combination therapy: aspirin + clopidogrel & warfarin INR 2-3 - >2 score = moderate-high risk :oral anticoagulation (warfarin INR 2-3, dabigatran, rivaroxaban, apixaban, edoxaban) - Use long-term anticoagulation for patients with persistent or paroxysmal AFib/AF - Persists for longer than 48 hours / Post-cardioversion = 4 weeks of adequate anticoagulation