(2009 update )


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This guideline was prepared for outpatient Warfarin (Coumadin) management, related to cardiology work such as atrial fibrillation and prosthetic heart valve. Other conditions are briefly included.

This guidelines was first prepared in 2001, for Central Minnesota Heart Center Anticoagulation Clinic. There was an 2004 updated. In 2007 this guidelines has inserted ethnic difference information in few appropriate areas, to be the guidelines for Bangkok Hospital Anticoagulation Clinic program. It follows the major anticoagulation guidelines, i.e. 8th ACCP Consensus Conference on Antithrombotic Therapy (Chest 2008), ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation and ACC/AHA 2006 practice Guidelines for the Management of Patients with Valvular Heart Disease. Some other databases are also listed in the bibliography section. Database on ethnic difference is limited at the present time.

It is expected that physicians may choose different approaches in certain patients for various reasons, however uniform practice will make the anticoagulation clinic run more efficiently.