What is the ACCP recommended anticoagulation therapy for patients with atrial flutter (AFL) at risk of stroke?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

No therapy for patients at low risk of stroke (eg, CHADS2 score = 0). For patients who choose therapy, use aspirin (75 mg to 325 mg daily) rather than oral anticoagulation or combination therapy with aspirin and clopidogrel. (Grade 2B)

For patients at intermediate risk of stroke (eg, CHADS2 score = 1), oral anticoagulation is preferred to no treatment (Grade 1B), aspirin daily, or combination therapy with aspirin and clopidogrel. (Grade 2B)

For patients at high risk of stroke (eg, CHADS2 score ≥2), oral anticoagulation is preferred to no treatment (Grade 1A), aspirin daily, or combination therapy with aspirin and clopidogrel. (Grade 1B)


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