Anticoagulation in AF regardless of CHADSVASc score

Conditions in which you should give anticoagulation in AF regardless of CHA₂DS₂-VASc score

1. Hypertrophic cardiomyopathy (HCM)

2. Fontan circulation

3. Systemic right ventricle

4. Intracardiac repair in congenital heart disease

5. Cyanotic heart disease

6. After AF ablation – minimum 8 weeks

7. After cardioversion – minimum 4 weeks

8. Mechanical prosthetic heart valve

9. Moderate or severe mitral stenosis

10. Anticoagulation for other indications

• Deep vein thrombosis (DVT)

• Pulmonary embolism (PE)

• Left ventricular thrombus

11. Thyrotoxicosis (reported in some studies)

12. Cardiac amyloidosis

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