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Ther Adv Drug Saf. 2017 Feb;8(2):67-75. doi: 10.1177/2042098616673990. Epub 2016 Oct 24.

Efficacy and safety of the target-specific oral anticoagulants for stroke prevention in atrial fibrillation: the real-life evidence.

Therapeutic advances in drug safety

Vincenzo Russo, Anna Rago, Riccardo Proietti, Federica Di Meo, Andrea Antonio Papa, Paolo CalabrĂ², Antonio D'Onofrio, Gerardo Nigro, Ahmed AlTurki

Affiliations

  1. Chair of Cardiology, Second University of Naples, Monaldi Hospital, Piazzale Ettore Ruggeri, Naples, Italy.
  2. Chair of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy.
  3. Cardiology Department, Luigi Sacco Hospital, Milan, Italy.
  4. Department of Cardiology, Monaldi Hospital, Naples, Italy.
  5. McGill University Health Centre, Montreal, Quebec, Canada.

PMID: 28255434 PMCID: PMC5315223 DOI: 10.1177/2042098616673990

Abstract

The aim of our article is to provide a concise review for clinicians entailing the main studies that evaluated the efficacy and safety of target-specific oral anticoagulants (TSOAs) for thromboembolic stroke prevention in the real-world setting. Atrial fibrillation (AF) is one of the most common supraventricular arrhythmias that requires anticoagulation therapy to prevent stroke and systemic embolism. TSOAs, dabigatran, apixaban and rivaroxaban have become available as an alternative to warfarin anticoagulation in nonvalvular atrial fibrillation (NVAF). Randomized clinical trials showed non-inferior or superior results in efficacy and safety of the TSOAs compared with warfarin for stroke prevention in NVAF patients. For this reason, the 2012 update to the European Society of Cardiology guidelines for the management of AF recommends TSOAs as broadly preferable to vitamin K antagonists (VKAs) in the vast majority of patients with NVAF [Camm

Keywords: apixaban; atrial fibrillation; dabigatran; efficacy; novel oral anticoagulant; real life; rivaroxaban; safety; stroke

Conflict of interest statement

Conflict of interest statement: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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