In patients with #AFib and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results and Research Summary: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
September 27, 2026 at 7:00 PM
In patients with #AFib and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results and Research Summary: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
Shingles? Or hyperactive dermatitis? Excessive anticoagulation therapy?
March 2, 2026 at 6:30 PM
Shingles? Or hyperactive dermatitis? Excessive anticoagulation therapy?
How did it take me this long to find the perfect analogy to explain the need for anticoagulation in Afib to my fellow Southerners?!
Me: “Blood is the consistency of gravy. If you stop stirring your roux evenly—“
Pt: “It clumps!”
Me: “Here’s your gravy thinner.”
Southern medicine
#Medsky
Me: “Blood is the consistency of gravy. If you stop stirring your roux evenly—“
Pt: “It clumps!”
Me: “Here’s your gravy thinner.”
Southern medicine
#Medsky
January 29, 2025 at 1:54 PM
How did it take me this long to find the perfect analogy to explain the need for anticoagulation in Afib to my fellow Southerners?!
Me: “Blood is the consistency of gravy. If you stop stirring your roux evenly—“
Pt: “It clumps!”
Me: “Here’s your gravy thinner.”
Southern medicine
#Medsky
Me: “Blood is the consistency of gravy. If you stop stirring your roux evenly—“
Pt: “It clumps!”
Me: “Here’s your gravy thinner.”
Southern medicine
#Medsky
Anticoagulation for severe (hospitalized) Covid, a prospective, systematic review acpjournals.org/doi/10.7326/... Supports therapeutic levels (vs prophylactic) to improve survival, but lots of nuance, contradictions that make changing practice unlikely
Editorial
www.acpjournals.org/doi/10.7326/...
Editorial
www.acpjournals.org/doi/10.7326/...
December 23, 2024 at 11:32 PM
Anticoagulation for severe (hospitalized) Covid, a prospective, systematic review acpjournals.org/doi/10.7326/... Supports therapeutic levels (vs prophylactic) to improve survival, but lots of nuance, contradictions that make changing practice unlikely
Editorial
www.acpjournals.org/doi/10.7326/...
Editorial
www.acpjournals.org/doi/10.7326/...
…allergic reactions, infections… etc.
Finally, if anticoagulation was proven to be beneficial, there are compounds that do similar jobs without the other risks…
Finally, if anticoagulation was proven to be beneficial, there are compounds that do similar jobs without the other risks…
May 24, 2025 at 11:59 PM
…allergic reactions, infections… etc.
Finally, if anticoagulation was proven to be beneficial, there are compounds that do similar jobs without the other risks…
Finally, if anticoagulation was proven to be beneficial, there are compounds that do similar jobs without the other risks…
Patient with pulmonary embolism develops mild hemoptysis:
- Dont panic
- Dont stop anticoagulation
- Dont give TXA
- Just continue anticoagulation
Hemoptysis is an accepted symptom of PE. It’s usually due to mild capillary necrosis & not severe (not arterial).
- Dont panic
- Dont stop anticoagulation
- Dont give TXA
- Just continue anticoagulation
Hemoptysis is an accepted symptom of PE. It’s usually due to mild capillary necrosis & not severe (not arterial).
a sign that says stay on target with a red line
ALT: a sign that says stay on target with a red line
media.tenor.com
March 10, 2026 at 4:27 PM
Patient with pulmonary embolism develops mild hemoptysis:
- Dont panic
- Dont stop anticoagulation
- Dont give TXA
- Just continue anticoagulation
Hemoptysis is an accepted symptom of PE. It’s usually due to mild capillary necrosis & not severe (not arterial).
- Dont panic
- Dont stop anticoagulation
- Dont give TXA
- Just continue anticoagulation
Hemoptysis is an accepted symptom of PE. It’s usually due to mild capillary necrosis & not severe (not arterial).
PSA: If you’re ever reversing anticoagulation & someone asks if the patient has had a vasectomy, they’re not being a weirdo.
Protamine is made from salmon sperm & post vasectomy patients may have anti sperm antibodies that cross react causing life threatening anaphylaxis!
Protamine is made from salmon sperm & post vasectomy patients may have anti sperm antibodies that cross react causing life threatening anaphylaxis!
November 10, 2024 at 12:36 AM
PSA: If you’re ever reversing anticoagulation & someone asks if the patient has had a vasectomy, they’re not being a weirdo.
Protamine is made from salmon sperm & post vasectomy patients may have anti sperm antibodies that cross react causing life threatening anaphylaxis!
Protamine is made from salmon sperm & post vasectomy patients may have anti sperm antibodies that cross react causing life threatening anaphylaxis!
This image shows the puncture mark. The hand bruising (and makeup) suggest recent IV placement in fragile veins, likely worsened by blood thinners. Combined with leg swelling, this pattern is more consistent with cardiovascular disease (CHF) and anticoagulation therapy than with CVI.
September 3, 2025 at 12:32 AM
This image shows the puncture mark. The hand bruising (and makeup) suggest recent IV placement in fragile veins, likely worsened by blood thinners. Combined with leg swelling, this pattern is more consistent with cardiovascular disease (CHF) and anticoagulation therapy than with CVI.
including the cost of phlebotomy supplies and anticoagulation agents, would it be cheaper to make printer ink out of my own blood?
March 21, 2025 at 5:27 PM
including the cost of phlebotomy supplies and anticoagulation agents, would it be cheaper to make printer ink out of my own blood?
anticoagulation would be a beautiful name for a baby girl....
August 20, 2025 at 8:02 PM
anticoagulation would be a beautiful name for a baby girl....
It's possible that he is on anticoagulation therapy (blood thinners) to prevent blood clots which could lead to bruising easily.
July 17, 2025 at 6:48 PM
It's possible that he is on anticoagulation therapy (blood thinners) to prevent blood clots which could lead to bruising easily.
Probably on anticoagulation therapy for thrombosis.
Then J.D. tried to hold his hand.
Then J.D. tried to hold his hand.
August 26, 2025 at 2:47 AM
Probably on anticoagulation therapy for thrombosis.
Then J.D. tried to hold his hand.
Then J.D. tried to hold his hand.
One time I had to do a “peer to peer” because the patients insurer insisted on choosing the patient’s anticoagulation.
I asked the guy, who clearly wasn’t my peer, to tell me what he knew about Vitamin K epoxide reductase but it turns out he wasn’t too interested in that.
I asked the guy, who clearly wasn’t my peer, to tell me what he knew about Vitamin K epoxide reductase but it turns out he wasn’t too interested in that.
December 9, 2024 at 8:58 PM
One time I had to do a “peer to peer” because the patients insurer insisted on choosing the patient’s anticoagulation.
I asked the guy, who clearly wasn’t my peer, to tell me what he knew about Vitamin K epoxide reductase but it turns out he wasn’t too interested in that.
I asked the guy, who clearly wasn’t my peer, to tell me what he knew about Vitamin K epoxide reductase but it turns out he wasn’t too interested in that.
Very interesting study comparing standard anticoagulation to Watchman atrial closure after atrial fibrillation ablation, should garner lots of discussion! Lower bleeding rates, no difference in stroke risk. #cardiosky #medsky #AHA24 www.nejm.org/doi/full/10....
Left Atrial Appendage Closure after Ablation for Atrial Fibrillation | NEJM
Oral anticoagulation is recommended after ablation for atrial fibrillation among patients at high risk for stroke. Left atrial appendage closure is a mechanical alternative to anticoagulation, but ...
www.nejm.org
November 16, 2024 at 10:23 PM
Very interesting study comparing standard anticoagulation to Watchman atrial closure after atrial fibrillation ablation, should garner lots of discussion! Lower bleeding rates, no difference in stroke risk. #cardiosky #medsky #AHA24 www.nejm.org/doi/full/10....
Hello, #anticoagulation community! AC Forum is now on BlueSky. We're here to share the latest research, clinical tools, and education to advance anticoagulation care worldwide. Join us as we connect, collaborate, and push the field forward. Welcome, colleagues
#BloodSky #AnticoagSky #MedSky #HemeSky
#BloodSky #AnticoagSky #MedSky #HemeSky
May 12, 2025 at 12:02 PM
Hello, #anticoagulation community! AC Forum is now on BlueSky. We're here to share the latest research, clinical tools, and education to advance anticoagulation care worldwide. Join us as we connect, collaborate, and push the field forward. Welcome, colleagues
#BloodSky #AnticoagSky #MedSky #HemeSky
#BloodSky #AnticoagSky #MedSky #HemeSky
Love to see this kind of science. New RCT shows aspirin likely harms patients with ischemic heart disease who got a stent and are already on a blood thinner. A lot of people fall into this trial's inclusion criteria.
Kudos to France and Bayer for working on this.
www.nejm.org/doi/full/10....
Kudos to France and Bayer for working on this.
www.nejm.org/doi/full/10....
Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation | NEJM
The appropriate antithrombotic regimen for patients with chronic coronary syndrome
who are at high atherothrombotic risk and receiving long-term oral anticoagulation
remains unknown. We conducted a...
www.nejm.org
October 23, 2025 at 12:39 PM
Love to see this kind of science. New RCT shows aspirin likely harms patients with ischemic heart disease who got a stent and are already on a blood thinner. A lot of people fall into this trial's inclusion criteria.
Kudos to France and Bayer for working on this.
www.nejm.org/doi/full/10....
Kudos to France and Bayer for working on this.
www.nejm.org/doi/full/10....
⚠️ ISTH-SSC communication alert: Oral FXa inhibitors can interfere with heparin anti-Xa monitoring during therapy transitions. This may mislead anticoagulation management. This communication offers practical steps for UFH use. #anticoagulation
www.jthjournal.org/article/S153...
www.jthjournal.org/article/S153...
May 18, 2025 at 1:02 PM
⚠️ ISTH-SSC communication alert: Oral FXa inhibitors can interfere with heparin anti-Xa monitoring during therapy transitions. This may mislead anticoagulation management. This communication offers practical steps for UFH use. #anticoagulation
www.jthjournal.org/article/S153...
www.jthjournal.org/article/S153...
In patients with atrial fibrillation and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
August 28, 2026 at 9:20 AM
In patients with atrial fibrillation and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
Anticoagulation & Antiplatelet Therapy for #AFib & Stable CAD:
Meta-Analysis of RCTs
#CardioSky #Epeeps #JACC
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social
Meta-Analysis of RCTs
#CardioSky #Epeeps #JACC
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social
February 11, 2025 at 10:04 PM
Anticoagulation & Antiplatelet Therapy for #AFib & Stable CAD:
Meta-Analysis of RCTs
#CardioSky #Epeeps #JACC
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social
Meta-Analysis of RCTs
#CardioSky #Epeeps #JACC
www.jacc.org/doi/10.1016/...
@jaccjournals.bsky.social @bbikdeli.bsky.social @mohammadkeykhaei.bsky.social @drroxmehran.bsky.social @gbarnesmd.bsky.social @cardiacpa1.medsky.social
Prophylactic anticoagulation in patients with nephrotic syndrome in the CureGN cohort academic.oup.com/ckj/advance-...
April 19, 2025 at 1:25 AM
Prophylactic anticoagulation in patients with nephrotic syndrome in the CureGN cohort academic.oup.com/ckj/advance-...
In patients with atrial fibrillation and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
August 30, 2026 at 7:00 AM
In patients with atrial fibrillation and intermediate stroke risk, direct oral anticoagulation led to a lower risk of stroke, systemic embolism, major bleeding, or death from cardiovascular causes than no anticoagulation. Full SINGLE-AF trial results: https://nej.md/4ii61XB
#ESCCongress
#ESCCongress
Distracting myself by watching Virgin River, and boy do those health care professionals forget to wash their hands before and after seeing patients or eating....Makes me cringe. And cardioverting a patient in new afib without anticoagulation and in a rural outpatient clinic.... Rant over.
February 12, 2025 at 4:24 AM
Distracting myself by watching Virgin River, and boy do those health care professionals forget to wash their hands before and after seeing patients or eating....Makes me cringe. And cardioverting a patient in new afib without anticoagulation and in a rural outpatient clinic.... Rant over.
#DragiWebdo n°494 : Recos ESC (dyslipidémie, péricartite, santé mentale), recos HAS (syphilis, gonocoque, chlamydia, mycoplasma), dépistages cardiovasculaires, anticoagulation, vaccin VRS, DRP/sinusite
www.medicalement-geek.com/2025/09/drag...
www.medicalement-geek.com/2025/09/drag...
Dragi Webdo n°494 : Recos ESC (dyslipidémie, péricartite, santé mentale), recos HAS (syphilis, gonocoque, chlamydia, mycoplasma), dépistages cardiovasculaires, anticoagulation, vaccin VRS, DRP/sinusi...
Dragi Webdo n°494 : Recos ESC congrès (dyslipidémie, péricartite, santé mentale), recos HAS (syphilis, gonocoque, chlamydia, mycoplasma),
www.medicalement-geek.com
September 9, 2025 at 7:05 PM
#DragiWebdo n°494 : Recos ESC (dyslipidémie, péricartite, santé mentale), recos HAS (syphilis, gonocoque, chlamydia, mycoplasma), dépistages cardiovasculaires, anticoagulation, vaccin VRS, DRP/sinusite
www.medicalement-geek.com/2025/09/drag...
www.medicalement-geek.com/2025/09/drag...
Wow, that's some serious anticoagulation!
June 22, 2024 at 11:55 PM
Wow, that's some serious anticoagulation!
🩺 Check out my latest newsletter:
🧠How COVID kills brain cells & lowers Testosterone
🔎More clues on #LongCOVID and Mitochondria
🩸The Holy Grail of Anticoagulation
💉Inverse vaccines to REVERSE autoimmune diseases
and much more! drruth.substack.com/p/covid-news...
photo by Stephanie Cohen MD
🧠How COVID kills brain cells & lowers Testosterone
🔎More clues on #LongCOVID and Mitochondria
🩸The Holy Grail of Anticoagulation
💉Inverse vaccines to REVERSE autoimmune diseases
and much more! drruth.substack.com/p/covid-news...
photo by Stephanie Cohen MD
September 24, 2023 at 8:51 PM
🩺 Check out my latest newsletter:
🧠How COVID kills brain cells & lowers Testosterone
🔎More clues on #LongCOVID and Mitochondria
🩸The Holy Grail of Anticoagulation
💉Inverse vaccines to REVERSE autoimmune diseases
and much more! drruth.substack.com/p/covid-news...
photo by Stephanie Cohen MD
🧠How COVID kills brain cells & lowers Testosterone
🔎More clues on #LongCOVID and Mitochondria
🩸The Holy Grail of Anticoagulation
💉Inverse vaccines to REVERSE autoimmune diseases
and much more! drruth.substack.com/p/covid-news...
photo by Stephanie Cohen MD