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March 30, 2014Eurasian heart journalOpen Access

Prediction of Thromboembolism in Patients With Long-Lasting Atrial Fibrillation

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Why the study?

Does warfarin reduce thromboembolism compared to acetylsalicylic acid in patients with persistent or permanent atrial fibrillation?

Population

108 patients aged 38 to 78 years old with persistent or permanent atrial fibrillation. 93.5% had coronary…

Comparison

Warfarin vs Acetylsalicylic acid (ASA)

Design

Cohort

Follow-up

1 year

Key result

Warfarin treatment in patients with long-lasting atrial fibrillation resulted in fewer thromboembolic endpoints compared to acetylsalicylic acid (5.6% vs 27.8%) at 1 year follow-up.

Authors

RKR. D. KurbanovNZN. J. ZakirovDID. B. Irisov

Discussion

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Overview

May support anticoagulation over aspirin in persistent AF; leaves open randomized confirmation in contemporary cohorts.

Study Design

Type

Observational (n=108)

Structured PICO

Does warfarin reduce thromboembolism compared to acetylsalicylic acid in patients with persistent or permanent atrial fibrillation?

P
Population
108 patients aged 38 to 78 years old (mean age 62.6±8.4 years) with persistent or permanent atrial fibrillation. 93.5% had coronary artery disease and/or arterial hypertension, 6.5% had non-coronary heart diseases.
I
Intervention
Warfarin
C
Comparator
Acetylsalicylic acid (ASA)
O
Outcome
Thromboembolism (ischemic stroke) at 1 year follow-uphard clinical

Main Result

Absolute Event Rate: 5.6% vs 27.8%

The CHA2DS2-VASc score identifies more patients requiring anticoagulation than CHADS2, and warfarin is associated with fewer ischemic strokes than aspirin in patients with persistent or permanent AF.

Cite This Study

Kurbanov et al. (2014) conducted an observational in Persistent or permanent atrial fibrillation (n=108). Warfarin vs. Acetylsalicylic acid (ASA) was evaluated on Thromboembolism / ischemic stroke. Warfarin treatment in patients with long-lasting atrial fibrillation resulted in fewer thromboembolic endpoints compared to acetylsalicylic acid (5.6% vs 27.8%) at 1 year follow-up.

synapsesocial.com/papers/6a16eed225571367076bc2behttps://doi.org/10.38109/2225-1685-2014-1-90-94
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