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June 22, 2012Heart

New anticoagulant treatments to protect against stroke in atrial fibrillation

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Key result

New oral anticoagulants, including direct thrombin and factor Xa inhibitors, have emerged as attractive alternatives to warfarin for stroke prevention in atrial fibrillation.

Why the study?

Do oral direct thrombin inhibitors and direct factor Xa inhibitors prevent stroke in patients with atrial fibrillation compared to warfarin?

Population

Patients with atrial fibrillation

Comparison

Oral direct thrombin inhibitors and direct… vs Warfarin

Design

Review

Authors

TPTatjana PotparaGLGregory Y.H. LipSAStavros Apostolakis

Discussion

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Overview

Supports NOAC consideration in eligible AF patients; leaves long-term real-world efficacy and safety open for evaluation.

Structured PICO

Do oral direct thrombin inhibitors and direct factor Xa inhibitors prevent stroke in patients with atrial fibrillation compared to warfarin?

P
Population
Patients with atrial fibrillation
I
Intervention
Oral direct thrombin inhibitors and direct factor Xa inhibitors
C
Comparator
Warfarin
O
Outcome
Stroke prevention

New oral anticoagulants offer important advantages over warfarin for stroke prevention in atrial fibrillation, but real-world long-term data is still needed.

Limitations

  • Long-term efficacy and safety still require evaluation in real-world clinical practice.
  • long-term efficacy and safety still require evaluation in 'real-world' clinical practice

Cite This Study

Potpara et al. (2012) conducted a review in atrial fibrillation. New oral anticoagulants (direct thrombin inhibitors and direct factor Xa inhibitors) vs. Warfarin was evaluated on Stroke prevention. New oral anticoagulants, including direct thrombin and factor Xa inhibitors, have emerged as attractive alternatives to warfarin for stroke prevention in atrial fibrillation.

synapsesocial.com/papers/6a5d67919d99f8a47ce1f976https://doi.org/10.1136/heartjnl-2012-301841
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Also Consider

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

  1. 1The Net Clinical Benefit of Warfarin Anticoagulation in Atrial Fibrillation2009 · 662 citations
  2. 2Antithrombotic treatment in real-life atrial fibrillation patients: a report from the Euro Heart Survey on Atrial Fibrillation2006 · 372 citations
  3. 3Dabigatran versus Warfarin in Patients with Atrial Fibrillation2009 · 11,272 citations
  4. 4Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting with Acute Coronary Syndrome and/or Undergoing Percutaneous Coronary Intervention/ Stenting2009 · 304 citations
  5. 5Effect of Clopidogrel Added to Aspirin in Patients with Atrial Fibrillation2009 · 2,108 citations