Oral Anticoagulation for Atrial Fibrillation Thromboembolism Prophylaxis in the Chronic Kidney Disease Population: the State of the Art in 2019

2019 ◽  
Vol 33 (4) ◽  
pp. 481-488 ◽  
Author(s):  
Lane Zhang ◽  
David A. Steckman ◽  
Evan C. Adelstein ◽  
Joshua Schulman-Marcus ◽  
Alfred Loka ◽  
...  
Author(s):  
Pablo Gomez -Fernández ◽  
Antonio Martín Santana ◽  
Juan de Dios Arjona Barrionuevo

2020 ◽  
Vol 33 (3) ◽  
pp. 483-495 ◽  
Author(s):  
Maura Ravera ◽  
Elisabetta Bussalino ◽  
Maria Fusaro ◽  
Luca Di Lullo ◽  
Filippo Aucella ◽  
...  

2016 ◽  
Vol 117 (3) ◽  
pp. 477-482 ◽  
Author(s):  
Shmuel Schwartzenberg ◽  
Eli I. Lev ◽  
Alexander Sagie ◽  
Asher Korzets ◽  
Ran Kornowski

EP Europace ◽  
2019 ◽  
Vol 22 (5) ◽  
pp. 716-723
Author(s):  
Mathias Aagaard Christensen ◽  
Emil Loldrup Fosbøl ◽  
Anders Nissen Bonde ◽  
Jonas Bjerring Olesen ◽  
Gunnar H Gislason ◽  
...  

Abstract Aims Oral anticoagulation (OAC) therapy as secondary stroke prophylaxis in atrial fibrillation (AF) patients with chronic kidney disease (CKD) remains unexplored and poses a clinical treatment dilemma. We assessed the long-term risk of thromboembolic events according to post-stroke OAC therapy in AF patients with CKD after their first ischaemic stroke. Methods and results We identified Danish AF patients with CKD who presented with first-time ischaemic stroke from 2005 to 2014. Chronic kidney disease was defined as a diagnosis code for CKD before baseline, defined as 100 days after stroke discharge. Post-stroke antithrombotic therapy (OAC therapy and antiplatelet therapy) was identified from prescription claims from discharge to baseline. Cumulative incidences and adjusted hazard ratios (HRs) of thromboembolic events according to post-stroke OAC therapy were examined. Of 1252 AF patients with CKD presenting with ischaemic stroke, 631 (50.4%) patients were on OAC therapy and 621 (49.6%) were on antiplatelet therapy alone at baseline [median age 76 (interquartile range, IQR 71–83) and 80 (IQR 72–86), respectively]. The median follow-up period was 1.9 years (IQR 0.8–3.6). Cumulative incidence rates of thromboembolic events and bleeding showed no significant difference between those on OAC therapy and antiplatelet therapy. The results from the multivariable analysis revealed similar results: thromboembolic risk was not modified by OAC treatment [adjusted HR 0.89, 95% confidence interval (CI) 0.73–1.09] nor was the risk of bleeding (adjusted HR 0.88, 95% CI 0.67–1.17). Conclusion Oral anticoagulation in patients with CKD and prior stroke was not associated with a reduced risk of recurrent thromboembolic events compared with antiplatelet therapy.


2015 ◽  
Vol 144 (10) ◽  
pp. 480
Author(s):  
Luis Angel Sánchez-Muñoz ◽  
René Arnaldo Aguilar-Flores ◽  
Ana Juanatey-García ◽  
Sara González de Zárate-Catón

2018 ◽  
Vol 39 (suppl_1) ◽  
Author(s):  
A Nissen Bonde ◽  
G Y H Lip ◽  
A L Kamper ◽  
G Gislason ◽  
C Torp-Pedersen ◽  
...  

2019 ◽  
Vol 73 (9) ◽  
pp. 408 ◽  
Author(s):  
Michael Dorsch ◽  
Sean Pokorney ◽  
Mary Birmingham ◽  
John A. House ◽  
Kenneth Moore ◽  
...  

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Julie Boucquemont ◽  
Georg Heinze ◽  
Kitty J Jager ◽  
Rainer Oberbauer ◽  
Karen Leffondre

2015 ◽  
Vol 144 (10) ◽  
pp. 452-456
Author(s):  
Víctor Expósito ◽  
Miguel Seras ◽  
Gema Fernández-Fresnedo

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