2019, Number 2
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Rev Hematol Mex 2019; 20 (2)
Laboratory surveillance of direct oral anticoagulants
Echenagucia-Echenagucia M
Language: Spanish
References: 22
Page: 86-95
PDF size: 298.45 Kb.
ABSTRACT
The search for the ideal anticoagulant is aimed at obtaining safe drugs in their mechanism
of action, easy to administer, ideally with oral formulation, used at a fixed dose
with a predictable effect and faster onset of action, with the least amount of side effects
and without interactions with other medications or natural biochemical mechanisms,
which gives rise to the development of direct oral anticoagulants (DOACs). This review
is focused on the monitoring of this type of anticoagulants, so, emphasis is placed on
how to guide the monitoring, the requirements, the methods used, as well as alternative
strategies to achieve it. Finally, each laboratory should be aware of the effect of direct
oral anticoagulants on its reagent system, through reviews in the literature or patient
samples, and should use commercial calibrators and controls with care.
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