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September 1, 2015European Heart JournalOpen Access

XANTUS: a real-world, prospective, observational study of patients treated with rivaroxaban for stroke prevention in atrial fibrillation

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Key result

In a real-world population of patients with non-valvular atrial fibrillation, rivaroxaban use was associated with low rates of major bleeding (2.1/100 pt-yrs) and stroke (0.7/100 pt-yrs).

Population

6,784 patients with non-valvular atrial fibrillation, mean age 71.5 years, 41% female, multinational.

Design

Cohort

Follow-up

1 year

Authors

A. John CammA. John CammElectrophysiologyPierre AmarencoPierre AmarencoUniversité Claude Bernard Lyon 1SHSylvia HaasVascular Medicine

Discussion

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Implication

May inform real-world expectations for rivaroxaban in NVAF; extends trial data yet remains hypothesis-generating.

Study Design

Type

Observational (n=6,784)

Multicenter

Yes

Structured PICO

P
Population
6,784 patients with non-valvular atrial fibrillation (NVAF), mean age 71.5 years, 41% female, multinational (Europe, Israel, Canada).
I
Intervention
Rivaroxaban newly started in routine clinical use, mean treatment duration 329 days.
O
Outcome
Major outcomes including major bleeding, symptomatic thromboembolic events (stroke, systemic embolism, transient ischaemic attack, and myocardial infarction), and all-cause death.hard clinical

In a large, real-world, prospective observational study, rivaroxaban was associated with low rates of stroke and major bleeding in unselected patients with non-valvular atrial fibrillation.

Cite This Study

Camm et al. (2015) conducted an observational in non-valvular atrial fibrillation (NVAF) (n=6,784). rivaroxaban was evaluated on major bleeding. In a real-world population of patients with non-valvular atrial fibrillation, rivaroxaban use was associated with low rates of major bleeding (2.1/100 pt-yrs) and stroke (0.7/100 pt-yrs).

synapsesocial.com/papers/6a10dcb4d06b5b96589facf1https://doi.org/10.1093/eurheartj/ehv466

Topics

Atrial fibrillationAnticoagulation in AFPersistent AF management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Medication persistence and discontinuation of rivaroxaban versus warfarin among patients with non-valvular atrial fibrillation2014 · 83 citations
  2. 2Prospective National Study of the Prevalence, Incidence, Management and Outcome of a Large Contemporary Cohort of Patients With Incident Non‐Valvular Atrial Fibrillation2015 · 244 citations
  3. 3Effect of Clopidogrel Added to Aspirin in Patients with Atrial Fibrillation2009 · 2,108 citations
  4. 4Drug persistence with rivaroxaban therapy in atrial fibrillation patients--results from the Dresden non-interventional oral anticoagulation registry2015 · 144 citations
  5. 5Characterizing Major Bleeding in Patients With Nonvalvular Atrial Fibrillation: A Pharmacovigilance Study of 27 467 Patients Taking Rivaroxaban2015 · 152 citations