Description
Choice of Anticoagulants
Guest: Ana Casanegra, M.D., M.S.
Host: Sharonne Hayes, M.D.
This podcast will equip clinicians with a practical, patient-centered framework for selecting anticoagulants across common cardiovascular and thrombotic conditions. Listeners will learn how to balance efficacy, bleeding risk, comorbidities, and patient preferences when choosing among DOACs, warfarin, and other options. Real-world considerations and common clinical pitfalls will be highlighted to support confident, evidence-based anticoagulation decisions in daily practice.
Topics Discussed:
• Anticoagulant selection: indication, thrombotic/bleeding risk, renal function, and patient factors
• DOACs vs warfarin: benefits, limitations, and appropriate use cases
• Anticoagulation strategies across AF, VTE, and vascular disease
• Dosing considerations in renal impairment, older adults, and weight extremes
• Common management pitfalls, bleeding risk assessment, and treatment optimization
• Emerging evidence and future trends in anticoagulation care
0:00 Choosing the Right Anticoagulant
1:24 Key Factors in Anticoagulant Selection
2:47 Cost and Patient-Centered Treatment Decisions
3:55 Common Anticoagulation Management Pitfalls
5:25 Managing Absorption and Monitoring Challenges
6:47 Bleeding Risk and Treatment Duration
8:21 When Warfarin Remains the Best Choice
9:24 Future Options for Mechanical Valves
10:49 Emerging Factor XI Inhibitor Research
12:21 Preventing Thrombosis and Post-PE Complications
13:30 Closing Thoughts and Future Directions