See the “About” "About App" section for more information about use of the app.
Click the Terms tab at the bottom of the app before using the ManageAnticoag (“the Product”) to read the full Terms of Service and License Agreement (the “Agreement”) which governs the use of the Product. The Agreement includes, among other detailed terms and conditions, certain disclaimers of warranties by the American College of Cardiology Foundation (“ACCF”) and requires the user to agree to release ACCF from any and all liability arising in connection with your use of the Product. By using the Product, you accept and agree to be bound by all of the terms and conditions set forth in the Agreement, including such disclaimers and releases. If you do not accept the terms and conditions of the Agreement, you may not proceed to use the Product. The Agreement is subject to change from time to time, and your continued use of the Product constitutes your acceptance of and agreement to be bound by any revised terms of the Agreement.x
Reference key concepts from the tools aboveQuick Reference
The information in this app is based on content in the ACC’s Expert Consensus Decision Pathways. Refer to the Resources section for full references.
Anticoagulation Management Clinical Topic Collection
|American Society for Gastrointestinal Endoscopy’s Standards of Practice Committee|
|American Society of Nephrology|
The risk stratification for the nephrology procedures was assigned based on the publications cited below and the following explanatory points:
|American Society of Regional Anesthesia and Pain Medicine|
|Interventional Section Leadership Council of the ACC|
Tomaselli GF, Mahaffey KW, Cuker A, Dobesh PP, Doherty JU, Eikelboom JW, Florido R, Gluckman TJ, Hucker W, Mehran R, Messé SR, Perino AC, Rodriguez F, Sarode R, Siegal D, Wiggins BS. 2020 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants: a Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol 2020; Aug 76(5)594-622. DOI: 10.1016/j.jacc.2020.04.053
Doherty JU, Gluckman TJ, Hucker WJ, Januzzi Jr. JL, Ortel TL, Saxonhouse SJ, Spinler SA. 2017 ACC Expert Consensus Decision Pathway for Periprocedural Management of Anticoagulation in Patients with Nonvalvular Atrial Fibrillation: A Report of the American College of Cardiology Expert Consensus Document Task Force.J Am Coll Cardiol 2017:69:871-98.
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The app is meant for use by clinicians in relation to patients who are currently taking oral anticoagulants. Some parts of the app only apply to patients with nonvalvular AF, and this will be specified in those areas. The app applies to patients in the following situations:
The app is intended for use by clinicians to help navigate periprocedural planning and bleed management scenarios for patients on oral anticoagulants (OAC). The app is comprised of three tools to support the following clinical decisions:
To use the app:
The information and recommendations in this app are intended to support clinical decision making. They are not intended to represent the only or best course of care, or to replace clinical judgment. Therapeutic options should be determined after discussion between the patient and their care provider. While bleeding protocols at individual institutions may vary from the advice in this app, content in the app is derived from the referenced documents and is meant to represent ACC’s expert clinical opinion.
The information in this app was derived from the 2020 Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants and the 2017 Expert Consensus Decision Pathway on Periprocedural Management of Anticoagulation in Patients with Nonvalvular Atrial Fibrillation. App content and design was refined and vetted by ACC member clinicians, and through user testing with clinicians practicing in relevant specialties. The app was developed as part of a continuing initiative to enable clinicians to access and implement ACC clinical policy at the point of care to improve quality, efficiency, and patient outcomes. The app is also part of ACC’s Anticoagulation Initiative, a comprehensive quality effort to improve care for patients on anticoagulation therapy.
Support for the app was provided by Boehringer Ingelheim, Daiichi Sankyo, Inc. and Janssen Pharmaceuticals, Inc. All content was independently developed with no sponsor involvement.
Call: (202) 375-6000, ext. 5603 or (800) 253-4636, ext. 5603
The ACC and AHA released a new guideline on the treatment and management of high blood pressure, which can be found at http://www.acc.org/guidelines/hubs/high-blood-pressure. The ASCVD Risk Estimator Plus now contains summary content from this guideline. Stayed tuned for more updates as ACC continues to integrate content from this new guideline in this and other related tools.
Indications for anticoagulation with high thrombotic riskCHF: Congestive Heart Failure;TIA: Transient ischemic attack
|Mechanical valve prosthesis||
|Atrial fibrillation (AF)||
|Venous thromboembolism (VTE)||
|Prior thromboembolism with interruption of anticoagulation||Any|
|Left ventricular or left atrial thrombus||Any|
|Left ventricular assist device (LVAD)||Any|