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Details

Autor(en) / Beteiligte
Titel
Apixaban versus Warfarin in Patients with Atrial Fibrillation
Ist Teil von
  • The New England journal of medicine, 2011-09, Vol.365 (11), p.981-992
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2011
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
  • The oral direct factor Xa inhibitor, apixaban, was compared with warfarin in atrial fibrillation. Apixaban was superior to warfarin in preventing stroke or systemic embolism, caused less bleeding, and lowered mortality. Patients with atrial fibrillation are at increased risk for stroke. Warfarin and other vitamin K antagonists are highly effective treatments, reducing the risk of stroke by about two thirds, but their use is limited by a narrow therapeutic range, drug and food interactions, required monitoring, and risk of bleeding. 1 A randomized trial has confirmed the effectiveness of warfarin in the current era. 2 Two new oral anticoagulants have recently been shown to be equivalent or superior to warfarin in preventing stroke or systemic embolism. 3 , 4 Apixaban is a direct oral factor Xa inhibitor with rapid absorption, a 12-hour half-life, and 25% . . .

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