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espanolEl tratamiento anticoagulante (TACO) es uno de los pilares en la prevencion del accidente cerebrovascular.Objetivos: Conocer los habitos de inicio del TACO, las dificultades en su continuidad y la incorporacion de nuevos anticoagulantesorales (NAO). Analizar las conductas medicas.Material y Metodos: Encuesta cerrada a 107 cardiologos.Resultados: En el inicio del TACO, el 52,3% adopto una decision con el paciente. Fueron reconocidos diversos inconvenientespara su continuidad y el 85% eligio al costo como la dificultad para incorporar NAO. En pacientes de alto riesgo y FA de tiempoincierto, el 83,2% eligio TACO y control de frecuencia cardiaca. En pacientes de bajo riesgo con FA paroxistica, el 54,2% optopor el seguimiento. En pacientes con alto riesgo emboligeno y de sangrado, el 75,7% decidio TACO.Conclusiones: Se observo una tendencia a dar participacion al paciente en el inicio del TACO y multiples dificultades parasostenerlo. El precio de los NAO condiciona su uso. Las conductas medicas fueron concordantes con lo que indican las guias. EnglishThe anticoagulant treatment (ACOT) is one of the pillars in the prevention of stroke.Objectives: To know the habits of initiation of ACOT, difficulties in its continuity, incorporation of new anticoagulants (NOA),and analyze medical behaviors.Material and Methods: Survey closed to 107 cardiologists.Results: At the beginning of ACOT, 52.3% cardiologists adopted a decision with the patient, several inconveniences wererecognized for its continuity, and 85% chose the economic cost as a difficulty to incorporate NOA. In High risk and AF ofuncertain time: 83.2% cardiologists chose ACOT and frequency control. In Low risk with paroxysmal AF: 54.2% opted forfollow-up. In High risk embolism and bleeding: 75.7% decided ACOT.Conclusions: A tendency to involve the patient at the beginning of ACOT, and multiple difficulties to sustain it was observed.The use of NAO is conditioned by economic cost. The medical behaviors were consistent with the guidelines.

Anticoagulant treatment of atrial fibrillation: uses and habits of cardiologists