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The American College of Cardiology (ACC) develops a number of policy documents to provide members with guidance on clinical topics.

Although clinical practice guidelines remain the primary mechanism for offering evidence-based recommendations, such guidelines may contain gaps in how to make clinical decisions, particularly when equipoise is present in a topic.

In some cases, topics covered by ECDPs will be addressed subsequently by ACC/American Heart Association guidelines as the evidence base evolves.Following reconciliation of all comments, this document was approved for publication by the governing bodies of the ACC.The guidance in this document is designed to address the clinical problem of bleeding management of patients treated with anticoagulants and will consider both DOACs and VKAs used for any indication.To complement the new focus on brief decision pathways and key points, Expert Consensus Documents were rebranded “Expert Consensus Decision Pathways” (ECDPs).Although ECDPs have a new format, they maintain the same goal of Expert Consensus Documents: to develop policy based on expert opinion in areas for which important clinical decisions are not adequately addressed by available data.

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