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January 1, 2013Postgraduate Medicine

Novel Oral Anticoagulants for Stroke Prevention in Patients with Atrial Fibrillation: Dawn of a New Era

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Key result

Novel oral anticoagulants, such as dabigatran, rivaroxaban, and apixaban, provide alternatives to warfarin for stroke prevention in nonvalvular atrial fibrillation without requiring INR monitoring.

Why the study?

Do novel oral anticoagulants prevent stroke in patients with nonvalvular atrial fibrillation?

Population

Patients with nonvalvular atrial fibrillation

Comparison

Novel oral anticoagulants vs Warfarin

Design

Review

Authors

TCTahmeed ContractorVLVadim LevinMMMatthew W. Martinez

Discussion

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Overview

Supports NOAC alternatives to warfarin in nonvalvular AF without INR monitoring; leaves open optimal agent selection in specific populations.

Structured PICO

Do novel oral anticoagulants prevent stroke in patients with nonvalvular atrial fibrillation?

P
Population
Patients with nonvalvular atrial fibrillation
I
Intervention
Novel oral anticoagulants (dabigatran, rivaroxaban, apixaban, edoxaban)
C
Comparator
Warfarin
O
Outcome
Stroke prevention

This review summarizes the pharmacological properties, clinical trial data, and practical considerations for using novel oral anticoagulants as an alternative to warfarin for stroke prevention in nonvalvular atrial fibrillation.

Cite This Study

Contractor et al. (2013) conducted a review in Atrial fibrillation. Novel oral anticoagulants (dabigatran, rivaroxaban, apixaban, edoxaban) vs. Warfarin was evaluated. Novel oral anticoagulants, such as dabigatran, rivaroxaban, and apixaban, provide alternatives to warfarin for stroke prevention in nonvalvular atrial fibrillation without requiring INR monitoring.

synapsesocial.com/papers/6a208f66a698ff314ccc41echttps://doi.org/10.3810/pgm.2013.01.2622
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Also Consider

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

  1. 1Randomised, parallel-group, multicentre, multinational phase 2 study comparing edoxaban, an oral factor Xa inhibitor, with warfarin for stroke prevention in patients with atrial fibrillation2010 · 343 citations
  2. 2Dabigatran etexilate – a novel, reversible, oral direct thrombin inhibitor: Interpretation of coagulation assays and reversal of anticoagulant activity2010 · 1,381 citations
  3. 3Myocardial Ischemic Events in Patients With Atrial Fibrillation Treated With Dabigatran or Warfarin in the RE-LY (Randomized Evaluation of Long-Term Anticoagulation Therapy) Trial2012 · 351 citations
  4. 4Benefit of Oral Anticoagulant Over Antiplatelet Therapy in Atrial Fibrillation Depends on the Quality of International Normalized Ratio Control Achieved by Centers and Countries as Measured by Time in Therapeutic Range2008 · 875 citations
  5. 52012 focused update of the ESC Guidelines for the management of atrial fibrillation2012 · 2,904 citations