In an adult patient with atrial flutter, how should anticoagulation be managed, including calculation of the CHA₂DS₂‑VASc (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes mellitus, prior Stroke/TIA (transient ischemic attack)/thromboembolism, Vascular disease, Age 65‑74, Sex category female) score, thresholds for therapy, choice and dosing of direct oral anticoagulants (DOACs) versus warfarin, and peri‑cardioversion anticoagulation recommendations?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 24, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the CHA2DS2-VASc (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, Stroke or transient ischemic attack, Vascular disease, Age 65-74 years, Sex category) score for a 72-year-old female with a history of Ethanol (ETOH) abuse?

What is the recommended anticoagulation therapy for a patient with paroxysmal atrial fibrillation (AF) and a CHA2DS2-VASc (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, Stroke or transient ischemic attack, Vascular disease, Age 65-74 years, Sex category) score of 2?

What is the stroke risk assessment and anticoagulation indication for a 66-year-old man with hypertension and paroxysmal atrial fibrillation (AF) according to the 2023 American College of Cardiology (ACC)/American Heart Association (AHA)/American College of Chest Physicians (ACCP)/Heart Rhythm Society (HRS) guideline?

Should anticoagulant therapy be continued in a patient with new-onset Atrial Fibrillation (AF) that spontaneously converts within 48 hours and a CHA2DS2VASc (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes, Stroke or transient ischemic attack, Vascular disease, Age 65-74 years, Sex category) score of 4, and if so, for how long?

What are the guidelines for initiating anticoagulation in atrial fibrillation, including CHA₂DS₂‑VASc (Congestive heart failure, Hypertension, Age ≥ 75 years, Diabetes mellitus, Stroke/TIA/thromboembolism, Vascular disease, Age 65‑74 years, Sex category) thresholds, choice and dosing of direct oral anticoagulants (DOACs), renal function monitoring, and alternatives for contraindications?

What is the appropriate dose of Kenalog (triamcinolone acetonide) for a 240‑pound (≈109 kg) adult male with severe allergic reaction and uvular edema?

What intramuscular dose of Kenalog (triamcinolone acetonide) should be given for a severely swollen uvula in an adult, and what is the weight‑based dosing for children?

Can you explain the non‑contrast CT findings, particularly the 8.4 cm ovoid right pelvic lesion, and advise the appropriate next diagnostic or management steps?

What oral amiodarone loading dose schedule is recommended, and what monitoring and contraindications should be considered?

In a patient receiving total parenteral nutrition (TPN) with 76 g dextrose over 18 hours and 36 units regular insulin, blood glucose is climbing to ~256 mg/dL; how many additional insulin units should be added to the TPN bag?

What is the pathophysiology of multiple sclerosis?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.