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September, 2026
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Michael O’Shea: Safety of DOACs Versus Warfarin in Adults with Congenital Heart Disease
Sep 8, 2026, 06:51

Michael O’Shea: Safety of DOACs Versus Warfarin in Adults with Congenital Heart Disease

Michael O’Shea, Assistant Professor and Instructor of Medicine at Mayo Clinic Alix School of Medicine, shared a post on X about a recent article he and his colleagues co-authored, published in Heart Rhythm O2, adding:

‘How safe are DOACs in Tetralogy of Fallot and PA-IVS?

We found ~5× higher bleeding with DOACs vs warfarin, particularly in patients with worse RV function.”

Title: Atrial Arrhythmia and Anticoagulant Risks in Tetralogy of Fallot and Pulmonary Atresia with Intact Ventricular Septum

Authors: Michael O’Shea, Suganya Karikalan, Srekar Ravi, Matthew Van Ligten, Adam Bacon, Eiad Habib, Omar Baqal, Philip Smyth, Winston Wang, Dani Green, Nneoma Alozie, Chelsea Marshal, Alexander Egbe, Heidi Connolly, Marlene Girardo, Abhishek Deshmukh, Hicham El Masry, David Majdalany

Michael O’Shea: Safety of DOACs Versus Warfarin in Adults with Congenital Heart Disease

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