Does rivaroxaban with or without aspirin improve cardiovascular outcomes in patients with stable atherosclerotic vascular disease?
Patients with stable atherosclerotic vascular disease
Rivaroxaban (2.5 mg twice daily) plus aspirin, or rivaroxaban (5 mg twice daily) alone
Aspirin alone
Cardiovascular outcomescomposite
In patients with stable atherosclerotic vascular disease, adding rivaroxaban 2.5 mg twice daily to aspirin improves cardiovascular outcomes but increases major bleeding, while rivaroxaban 5 mg twice daily alone offers no cardiovascular benefit over aspirin alone.
Among patients with stable atherosclerotic vascular disease, those assigned to rivaroxaban (2.5 mg twice daily) plus aspirin had better cardiovascular outcomes and more major bleeding events than those assigned to aspirin alone. Rivaroxaban (5 mg twice daily) alone did not result in better cardiovascular outcomes than aspirin alone and resulted in more major bleeding events. (Funded by Bayer; COMPASS ClinicalTrials.gov number, NCT01776424 .).
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John W. Eikelboom
Université Claude Bernard Lyon 1
Stuart J. Connolly
Electrophysiology
Jackie Bosch
Preventive Cardiology
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)
New England Journal of Medicine
Harvard University
University of Washington
University College London
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Eikelboom et al. (Sun,) studied this question.
synapsesocial.com/papers/69d994e78d5c517421a3bfbb — DOI: https://doi.org/10.1056/nejmoa1709118
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