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March 30, 2012Reviews in Cardiovascular MedicineOpen Access

Anticoagulation Strategies in Atrial Fibrillation

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Key result

Novel oral anticoagulants, including direct thrombin inhibitors and factor Xa inhibitors, provide effective and potentially safer alternatives to vitamin K antagonists for stroke prevention in atrial fibrillation.

Population

Patients with atrial fibrillation

Design

Review

Authors

AMArthur R. MenezesSASurya M. ArthamCLCarl J. Lavie

Discussion

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Overview

Supports NOAC consideration where VKAs unsuitable in AF; leaves open optimal agent selection and long-term outcomes in underrepresented groups.

Structured PICO

P
Population
A narrative review examining established and novel antithrombotic therapies for stroke prevention in patients with atrial fibrillation.
I
Intervention
Anticoagulation strategies including newer therapeutic agents and established antithrombotic therapies

This review provides an overview of established and emerging anticoagulation strategies for stroke prevention and cardioversion in patients with atrial fibrillation.

Cite This Study

Menezes et al. (2012) conducted a review in Atrial Fibrillation. Novel oral anticoagulants (direct thrombin inhibitors and factor Xa inhibitors) vs. Vitamin K antagonists or aspirin was evaluated. Novel oral anticoagulants, including direct thrombin inhibitors and factor Xa inhibitors, provide effective and potentially safer alternatives to vitamin K antagonists for stroke prevention in atrial fibrillation.

synapsesocial.com/papers/6a4c4247028ea97264ab7674https://doi.org/10.3909/ricm0616
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effect of Ximelagatran and Warfarin on Stroke Subtypes in Atrial Fibrillation2008 · 5 citations
  2. 2Transesophageal echocardiographically facilitated early cardioversion from atrial fibrillation using short-term anticoagulation: Final results of a prospective 4.5-year study1995 · 325 citations
  3. 3Risk for Clinical Thromboembolism Associated with Conversion to Sinus Rhythm in Patients with Atrial Fibrillation Lasting Less Than 48 Hours1997 · 241 citations
  4. 4Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study2011 · 1,444 citations