MIMS Education

Practical Use of NOACs in Patients with NVAF

Practical Use of NOACs in Patients with NVAF

CardiologyInternal MedicineFamily MedicineGeneral Practice
A badge with ribbon in color black CME Unit:0.5/1 Point | An analog clock in color black 1 hour | A black calendar with white triangle in center that has a black exclamation point in the middle 11 Oct 2023 


About this course

The availability of non-vitamin K antagonist oral anticoagulants (NOACs) have paved the way for improved safety in anticoagulation among patients with atrial fibrillation without compromising efficacy. However, the use of NOACs varies depending on the specific drug, indication, and patient characteristics. This e-learning module reviews practical considerations in choosing and initiating use of NOACs for patients with non-valvular atrial fibrillation, discusses considerations in special populations, and management options for instances of bleeding complications. A review of current real-world experience on NOACs is included to shed light on the clinical experience of various institutions using these medications.

Learning outcomes

Upon completion of the educational activity, participants should be able to:
  • Identify the practical considerations in initiating and choosing NOACs for non-valvular atrial fibrillation (NVAF)
  • Review the management options in patients on NOACs with bleeding complications
  • Understand the use of NOACs in special populations

Topics covered

  • NOACs: indications and dosing
  • Choosing NOACs: absorption, metabolism, and drug-drug Interaction
  • Management of bleeding under NOAC therapy
  • NOACs in special populations
  • Real-world data on NOACs

Keywords: NOACs, atrial fibrillation, special populations, bleeding complications

1 CME Point Available

  • This module is accredited for 1 CME Point for medical practitioners enrolled in The Medical Council of Hong Kong’s Continuing Medical Education Programme for Practising Doctors who are not taking CME for Specialists.
    • This module is accredited for both Hong Kong Doctors Union (HKDU) members and non-members.
  • This module is accredited for 0.5 CME Point for fellows of the Hong Kong College of Physicians, Hong Kong College of Emergency Medicine and Hong Kong College of Community Medicine.
  • Please note that this module will not earn CME credit for fellows of colleges not listed here.
  • A certificate can be downloaded upon successful completion of the quiz. Please use the information on the certificate to claim your CME points.