Direct oral anticoagulants for atrial fibrillation stroke prevention — ESC · 2024 recommendation
2024 ESC atrial fibrillation guideline
For stroke and thromboembolism prevention in atrial fibrillation, direct oral anticoagulants are preferred over vitamin K antagonists, except with mechanical heart valves or moderate-to-severe mitral stenosis.
Class of Recommendation
Class I
Level of Evidence
Level A
Last source-check date
2026-08-23
Exact source location
Recommendation Table 7, ‘Recommendations for oral anticoagulation in AF’, p. 3343
Prepared source-record governance
This record is prepared from a stored source. It is not labelled reviewer-verified because named reviewer provenance has not been documented.
- Clinical reviewer
- Not yet documented.
- Reviewer credentials
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- Last source-check date
- 2026-08-23
- Second-review status
- Not yet documented.
- Conflict-of-interest declaration
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- Source publication date
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- Source access date
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- Record version
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- Next review date
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Verification status & editorial record
Status: Prepared source record — reviewer provenance not documented.
Last source-check: 2026-08-23
No formally approved public metadata is currently available for a named reviewer, second-review status, conflict declaration, publication or access date, version history, or next review date for this record.
Verification boundary: This concise reference is limited to a prepared source recommendation. Verify the official document, local protocol, and patient context before application.