Skip to main content
Erschienen in:

08.08.2023 | Review Article

Direct Oral Anticoagulants: Navigating Through Clinical Challenges

verfasst von: Maria Ioannou, Elena Leonidou, Ioanna Chaziri, Angeliki Mouzarou

Erschienen in: Cardiovascular Drugs and Therapy | Ausgabe 3/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Direct oral anticoagulants (DOACs) have been approved, for over a decade, by both European and American medicine agencies, for treatment and prevention of several cardiovascular conditions. Since then, an increasing amount of data has been added to the medical literature day by day, resulting in a dichotomy in selection of the appropriate agent, dosage, and duration of treatment for special populations with multiple comorbidities. Considering these issues, we have prepared a comprehensive review for the clinical practitioner, to optimize the DOAC utilization in clinical practice.

Methods

A thorough literature search and review was conducted, concerning mainly the last decade. Our review focused on the current guidelines and the most recently published studies in PubMed, Science Direct Scopus, and Google Scholar to date.

Conclusion

The purpose of this study is to provide guidance for healthcare professionals for making proper decisions when confronted with clinical challenges. Nevertheless, further research is required to establish DOAC superiority in complicated cases, where there is clinical uncertainty.
Literatur
1.
Zurück zum Zitat Rose DK, Bar B. Direct oral anticoagulant agents: pharmacologic profile, indications, coagulation monitoring, and reversal agents. J Stroke Cerebrovasc Dis: Off J Natl Stroke Assoc. 2018;27(8):2049–58.CrossRef Rose DK, Bar B. Direct oral anticoagulant agents: pharmacologic profile, indications, coagulation monitoring, and reversal agents. J Stroke Cerebrovasc Dis: Off J Natl Stroke Assoc. 2018;27(8):2049–58.CrossRef
2.
Zurück zum Zitat Carnicelli AP, et al. Direct oral anticoagulants versus warfarin in patients with atrial fibrillation: patient-level network meta-analyses of randomized clinical trials with interaction testing by age and sex. Circulation. 2022;145(4):242–55.PubMedPubMedCentralCrossRef Carnicelli AP, et al. Direct oral anticoagulants versus warfarin in patients with atrial fibrillation: patient-level network meta-analyses of randomized clinical trials with interaction testing by age and sex. Circulation. 2022;145(4):242–55.PubMedPubMedCentralCrossRef
9.
Zurück zum Zitat Khan SU, et al. Dual antiplatelet therapy after percutaneous coronary intervention and drug-eluting stents: a systematic review and network meta-analysis. Circulation. 2020;142(15):1425–36.PubMedPubMedCentralCrossRef Khan SU, et al. Dual antiplatelet therapy after percutaneous coronary intervention and drug-eluting stents: a systematic review and network meta-analysis. Circulation. 2020;142(15):1425–36.PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Park DY, et al. Shortening the duration of dual antiplatelet therapy after percutaneous coronary intervention for acute coronary syndrome: a systematic review and meta-analysis. Am Heart J. 2022;251:101–14.PubMedPubMedCentralCrossRef Park DY, et al. Shortening the duration of dual antiplatelet therapy after percutaneous coronary intervention for acute coronary syndrome: a systematic review and meta-analysis. Am Heart J. 2022;251:101–14.PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Gibson CM, et al. Prevention of bleeding in patients with atrial fibrillation undergoing PCI. N Engl J Med. 2016;375(25):2423–34.PubMedCrossRef Gibson CM, et al. Prevention of bleeding in patients with atrial fibrillation undergoing PCI. N Engl J Med. 2016;375(25):2423–34.PubMedCrossRef
12.
Zurück zum Zitat Cannon CP, et al. Dual antithrombotic therapy with dabigatran after PCI in atrial fibrillation. N Engl J Med. 2017;377(16):1513–24.PubMedCrossRef Cannon CP, et al. Dual antithrombotic therapy with dabigatran after PCI in atrial fibrillation. N Engl J Med. 2017;377(16):1513–24.PubMedCrossRef
13.
Zurück zum Zitat Dewilde WJM, et al. Use of clopidogrel with or without aspirin in patients taking oral anticoagulant therapy and undergoing percutaneous coronary intervention: an open-label, randomised, controlled trial. Lancet (London, England). 2013;381(9872):1107–15.PubMedCrossRef Dewilde WJM, et al. Use of clopidogrel with or without aspirin in patients taking oral anticoagulant therapy and undergoing percutaneous coronary intervention: an open-label, randomised, controlled trial. Lancet (London, England). 2013;381(9872):1107–15.PubMedCrossRef
14.
Zurück zum Zitat Lopes RD, et al. Antithrombotic therapy after acute coronary syndrome or PCI in atrial fibrillation. N Engl J Med. 2019;380(16):1509–24.PubMedCrossRef Lopes RD, et al. Antithrombotic therapy after acute coronary syndrome or PCI in atrial fibrillation. N Engl J Med. 2019;380(16):1509–24.PubMedCrossRef
15.
Zurück zum Zitat Berteotti M, et al. Clinical impact of high platelet reactivity in patients with atrial fibrillation and concomitant percutaneous coronary intervention on dual or triple antithrombotic therapy. J Thromb Thrombolysis. 2023;55(4):667–79.PubMedPubMedCentralCrossRef Berteotti M, et al. Clinical impact of high platelet reactivity in patients with atrial fibrillation and concomitant percutaneous coronary intervention on dual or triple antithrombotic therapy. J Thromb Thrombolysis. 2023;55(4):667–79.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Lianos I, et al. Platelet function testing in atrial fibrillation patients undergoing percutaneous coronary intervention. J Thromb Thrombolysis. 2023;55(1):42–50.PubMedCrossRef Lianos I, et al. Platelet function testing in atrial fibrillation patients undergoing percutaneous coronary intervention. J Thromb Thrombolysis. 2023;55(1):42–50.PubMedCrossRef
17.
Zurück zum Zitat Lip GYH, et al. 2018 Joint European consensus document on the management of antithrombotic therapy in atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing percutaneous cardiovascular interventions: a joint consensus document of the European Heart Rhythm Association (EHRA), European Society of Cardiology Working Group on Thrombosis, European Association of Percutaneous Cardiovascular Interventions (EAPCI), and European Association of Acute Cardiac Care (ACCA) endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa (CASSA). Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2019;21(2):192–3.CrossRef Lip GYH, et al. 2018 Joint European consensus document on the management of antithrombotic therapy in atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing percutaneous cardiovascular interventions: a joint consensus document of the European Heart Rhythm Association (EHRA), European Society of Cardiology Working Group on Thrombosis, European Association of Percutaneous Cardiovascular Interventions (EAPCI), and European Association of Acute Cardiac Care (ACCA) endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa (CASSA). Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2019;21(2):192–3.CrossRef
18.
Zurück zum Zitat Angiolillo DJ, et al. Antithrombotic therapy in patients with atrial fibrillation treated with oral anticoagulation undergoing percutaneous coronary intervention: a North American perspective: 2021 update. Circulation. 2021;143(6):583–96.PubMedCrossRef Angiolillo DJ, et al. Antithrombotic therapy in patients with atrial fibrillation treated with oral anticoagulation undergoing percutaneous coronary intervention: a North American perspective: 2021 update. Circulation. 2021;143(6):583–96.PubMedCrossRef
19.
Zurück zum Zitat Zhu H, et al. Secondary prevention of antithrombotic therapy in patients with stable cardiovascular disease at high ischemic risk: a network meta-analysis of randomized controlled trials. Front Cardiovasc Med. 2023;9:1040473.PubMedPubMedCentralCrossRef Zhu H, et al. Secondary prevention of antithrombotic therapy in patients with stable cardiovascular disease at high ischemic risk: a network meta-analysis of randomized controlled trials. Front Cardiovasc Med. 2023;9:1040473.PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Antithrombotic Trialists’ (ATT) Collaboration, et al. Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomised trials. Lancet (London, England). 2009;373(9678):1849–60.CrossRef Antithrombotic Trialists’ (ATT) Collaboration, et al. Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomised trials. Lancet (London, England). 2009;373(9678):1849–60.CrossRef
21.
Zurück zum Zitat Coppens M, et al. Synergy of dual pathway inhibition in chronic cardiovascular disease. Circ Res. 2019;124(3):416–25.PubMedCrossRef Coppens M, et al. Synergy of dual pathway inhibition in chronic cardiovascular disease. Circ Res. 2019;124(3):416–25.PubMedCrossRef
22.
Zurück zum Zitat Mega JL, et al. Rivaroxaban in patients with a recent acute coronary syndrome. N Engl J Med. 2012;366(1):9–19.PubMedCrossRef Mega JL, et al. Rivaroxaban in patients with a recent acute coronary syndrome. N Engl J Med. 2012;366(1):9–19.PubMedCrossRef
23.
Zurück zum Zitat Eikelboom JW, et al. Rivaroxaban with or without aspirin in stable cardiovascular disease. N Engl J Med. 2017;377(14):1319–30.PubMedCrossRef Eikelboom JW, et al. Rivaroxaban with or without aspirin in stable cardiovascular disease. N Engl J Med. 2017;377(14):1319–30.PubMedCrossRef
24.
Zurück zum Zitat Knuuti J, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41(3):407–77.PubMedCrossRef Knuuti J, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41(3):407–77.PubMedCrossRef
25.
Zurück zum Zitat Yasuda S, et al. Antithrombotic therapy for atrial fibrillation with stable coronary disease. N Engl J Med. 2019;381(12):1103–13.PubMedCrossRef Yasuda S, et al. Antithrombotic therapy for atrial fibrillation with stable coronary disease. N Engl J Med. 2019;381(12):1103–13.PubMedCrossRef
26.
Zurück zum Zitat Tanigawa T, et al. Model-based dose selection for phase III rivaroxaban study in Japanese patients with non-valvular atrial fibrillation. Drug Metab Pharmacokinet. 2013;28(1):59–70.PubMedCrossRef Tanigawa T, et al. Model-based dose selection for phase III rivaroxaban study in Japanese patients with non-valvular atrial fibrillation. Drug Metab Pharmacokinet. 2013;28(1):59–70.PubMedCrossRef
27.
Zurück zum Zitat Renda G, et al. Non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation and valvular heart disease. J Am College Cardiol. 2017;69(11):1363–71.CrossRef Renda G, et al. Non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation and valvular heart disease. J Am College Cardiol. 2017;69(11):1363–71.CrossRef
28.
Zurück zum Zitat Eikelboom JW, et al. Dabigatran versus warfarin in patients with mechanical heart valves. N Engl J Med. 2013;369(13):1206–14.PubMedCrossRef Eikelboom JW, et al. Dabigatran versus warfarin in patients with mechanical heart valves. N Engl J Med. 2013;369(13):1206–14.PubMedCrossRef
29.
Zurück zum Zitat Durães AR, et al. Usefulness and safety of rivaroxaban in patients following isolated mitral valve replacement with a mechanical prosthesis. Am J Cardiol. 2018;122(6):1047–50.PubMedCrossRef Durães AR, et al. Usefulness and safety of rivaroxaban in patients following isolated mitral valve replacement with a mechanical prosthesis. Am J Cardiol. 2018;122(6):1047–50.PubMedCrossRef
30.
Zurück zum Zitat Roost E, et al. Rivaroxaban in patients with mechanical heart valves: a pilot study. Thromb Res. 2020;186:1–6.PubMedCrossRef Roost E, et al. Rivaroxaban in patients with mechanical heart valves: a pilot study. Thromb Res. 2020;186:1–6.PubMedCrossRef
31.
Zurück zum Zitat Duraes AR, et al. Rivaroxaban versus warfarin in patients with mechanical heart valves: open-label, proof-of-concept trial-the RIWA study. Am J Cardiovasc Drugs: Drugs, Devices, Other Interv. 2021;21(3):363–71.CrossRef Duraes AR, et al. Rivaroxaban versus warfarin in patients with mechanical heart valves: open-label, proof-of-concept trial-the RIWA study. Am J Cardiovasc Drugs: Drugs, Devices, Other Interv. 2021;21(3):363–71.CrossRef
32.
Zurück zum Zitat Ryu R, Tran R. DOACs in mechanical and bioprosthetic heart valves: a narrative review of emerging data and future directions. Clin Appl Thromb/Hemost: Off J Int Acad Clin Appl Thromb/Hemost. 2022;28:10760296221103578.CrossRef Ryu R, Tran R. DOACs in mechanical and bioprosthetic heart valves: a narrative review of emerging data and future directions. Clin Appl Thromb/Hemost: Off J Int Acad Clin Appl Thromb/Hemost. 2022;28:10760296221103578.CrossRef
33.
Zurück zum Zitat Jawitz OK, et al. Rationale and design of PROACT Xa: a randomized, multicenter, open-label, clinical trial to evaluate the efficacy and safety of apixaban versus warfarin in patients with a mechanical On-X Aortic Heart Valve. Am Heart J. 2020;227:91–9.PubMedPubMedCentralCrossRef Jawitz OK, et al. Rationale and design of PROACT Xa: a randomized, multicenter, open-label, clinical trial to evaluate the efficacy and safety of apixaban versus warfarin in patients with a mechanical On-X Aortic Heart Valve. Am Heart J. 2020;227:91–9.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Connolly SJ, et al. Rivaroxaban in rheumatic heart disease-associated atrial fibrillation. N Engl J Med. 2022;387(11):978–88.PubMedCrossRef Connolly SJ, et al. Rivaroxaban in rheumatic heart disease-associated atrial fibrillation. N Engl J Med. 2022;387(11):978–88.PubMedCrossRef
35.
Zurück zum Zitat Vahanian A, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561–632.PubMedCrossRef Vahanian A, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2022;43(7):561–632.PubMedCrossRef
36.
Zurück zum Zitat Guimarães PO, et al. Efficacy and safety of apixaban vs warfarin in patients with atrial fibrillation and prior bioprosthetic valve replacement or valve repair: insights from the ARISTOTLE trial. Clin Cardiol. 2019;42(5):568–71.PubMedPubMedCentralCrossRef Guimarães PO, et al. Efficacy and safety of apixaban vs warfarin in patients with atrial fibrillation and prior bioprosthetic valve replacement or valve repair: insights from the ARISTOTLE trial. Clin Cardiol. 2019;42(5):568–71.PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat De Caterina R, et al. Valvular heart disease patients on edoxaban or warfarin in the ENGAGE AF-TIMI 48 trial. J Am College Cardiol. 2017;69(11):1372–82.CrossRef De Caterina R, et al. Valvular heart disease patients on edoxaban or warfarin in the ENGAGE AF-TIMI 48 trial. J Am College Cardiol. 2017;69(11):1372–82.CrossRef
38.
Zurück zum Zitat Montalescot, G. “Anti-thrombotic strategy to lower all cardiovascular and neurologic ischemic and hemorrhagic events after trans-aortic valve implantation for aortic stenosis—ATLANTIS.” American College of Cardiology Virtual Annual Scientific Session (ACC 2021). 2021. Montalescot, G. “Anti-thrombotic strategy to lower all cardiovascular and neurologic ischemic and hemorrhagic events after trans-aortic valve implantation for aortic stenosis—ATLANTIS.” American College of Cardiology Virtual Annual Scientific Session (ACC 2021). 2021.
39.
Zurück zum Zitat Van Mieghem NM, et al. Edoxaban versus vitamin K antagonist for atrial fibrillation after TAVR. N Engl J Med. 2021;385(23):2150–60.PubMedCrossRef Van Mieghem NM, et al. Edoxaban versus vitamin K antagonist for atrial fibrillation after TAVR. N Engl J Med. 2021;385(23):2150–60.PubMedCrossRef
40.
Zurück zum Zitat Guimarães HP, et al. Rivaroxaban in patients with atrial fibrillation and a bioprosthetic mitral valve. N Engl J Med. 2020;383(22):2117–26.PubMedCrossRef Guimarães HP, et al. Rivaroxaban in patients with atrial fibrillation and a bioprosthetic mitral valve. N Engl J Med. 2020;383(22):2117–26.PubMedCrossRef
41.
Zurück zum Zitat Durães AR, et al. Dabigatran versus warfarin after bioprosthesis valve replacement for the management of atrial fibrillation postoperatively: DAWA pilot study. Drugs R&D. 2016;16(2):149–54.CrossRef Durães AR, et al. Dabigatran versus warfarin after bioprosthesis valve replacement for the management of atrial fibrillation postoperatively: DAWA pilot study. Drugs R&D. 2016;16(2):149–54.CrossRef
42.
Zurück zum Zitat Collet JP, et al. Apixaban vs. standard of care after transcatheter aortic valve implantation: the ATLANTIS trial. Eur Heart J. 2022;43(29):2783–97.PubMedCrossRef Collet JP, et al. Apixaban vs. standard of care after transcatheter aortic valve implantation: the ATLANTIS trial. Eur Heart J. 2022;43(29):2783–97.PubMedCrossRef
43.
Zurück zum Zitat Dangas GD, et al. A controlled trial of rivaroxaban after transcatheter aortic-valve replacement. N Engl J Med. 2020;382(2):120–9.PubMedCrossRef Dangas GD, et al. A controlled trial of rivaroxaban after transcatheter aortic-valve replacement. N Engl J Med. 2020;382(2):120–9.PubMedCrossRef
44.
Zurück zum Zitat Maniwa N, et al. Anticoagulation combined with antiplatelet therapy in patients with left ventricular thrombus after first acute myocardial infarction. Eur Heart J. 2018;39(3):201–8.PubMedCrossRef Maniwa N, et al. Anticoagulation combined with antiplatelet therapy in patients with left ventricular thrombus after first acute myocardial infarction. Eur Heart J. 2018;39(3):201–8.PubMedCrossRef
45.
Zurück zum Zitat Camaj A, et al. Left ventricular thrombus following acute myocardial infarction: JACC state-of-the-art review. J Am College Cardiol. 2022;79(10):1010–22.CrossRef Camaj A, et al. Left ventricular thrombus following acute myocardial infarction: JACC state-of-the-art review. J Am College Cardiol. 2022;79(10):1010–22.CrossRef
46.
Zurück zum Zitat Kajy M, Shokr M, Ramappa P. Use of direct oral anticoagulants in the treatment of left ventricular thrombus: systematic review of current literature. Am J Ther. 2020;27(6):e584–90.PubMedCrossRef Kajy M, Shokr M, Ramappa P. Use of direct oral anticoagulants in the treatment of left ventricular thrombus: systematic review of current literature. Am J Ther. 2020;27(6):e584–90.PubMedCrossRef
47.
Zurück zum Zitat Sedhom R, et al. Use of direct oral anticoagulants in the treatment of left ventricular thrombi: a systematic review. Am J Med. 2020;133(11):1266-1273.e6.PubMedCrossRef Sedhom R, et al. Use of direct oral anticoagulants in the treatment of left ventricular thrombi: a systematic review. Am J Med. 2020;133(11):1266-1273.e6.PubMedCrossRef
48.
Zurück zum Zitat Ibanez B, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119–77.PubMedCrossRef Ibanez B, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119–77.PubMedCrossRef
49.
Zurück zum Zitat Robinson AA, et al. Off-label use of direct oral anticoagulants compared with warfarin for left ventricular thrombi. JAMA Cardiol. 2020;5(6):685–92.PubMedPubMedCentralCrossRef Robinson AA, et al. Off-label use of direct oral anticoagulants compared with warfarin for left ventricular thrombi. JAMA Cardiol. 2020;5(6):685–92.PubMedPubMedCentralCrossRef
50.
Zurück zum Zitat Lip GYH, et al. Left atrial thrombus resolution in atrial fibrillation or flutter: results of a prospective study with rivaroxaban (X-TRA) and a retrospective observational registry providing baseline data (CLOT-AF). Am Heart J. 2016;178:126–34.PubMedCrossRef Lip GYH, et al. Left atrial thrombus resolution in atrial fibrillation or flutter: results of a prospective study with rivaroxaban (X-TRA) and a retrospective observational registry providing baseline data (CLOT-AF). Am Heart J. 2016;178:126–34.PubMedCrossRef
51.
Zurück zum Zitat Cheng Y-Y, et al. Left atrial appendage thrombosis and oral anticoagulants: a meta-analysis of risk and treatment response. J Cardiovasc Dev Dis. 2022;9(10):351.PubMedPubMedCentral Cheng Y-Y, et al. Left atrial appendage thrombosis and oral anticoagulants: a meta-analysis of risk and treatment response. J Cardiovasc Dev Dis. 2022;9(10):351.PubMedPubMedCentral
52.
Zurück zum Zitat Delewi R, et al. Left ventricular thrombus formation after acute myocardial infarction. Heart (Br Cardiac Soc). 2012;98(23):1743–9. Delewi R, et al. Left ventricular thrombus formation after acute myocardial infarction. Heart (Br Cardiac Soc). 2012;98(23):1743–9.
53.
Zurück zum Zitat Nso N, et al. Direct oral anticoagulants (DOAC) versus warfarin for the treatment of left ventricular thrombus (LVT) in patients with or without cardiorenal comorbidities, including CKD (chronic kidney disease) and atrial fibrillation: a systematic review and meta-analysis. Circulation. 2021;144(Suppl_1):A12654–A12654.CrossRef Nso N, et al. Direct oral anticoagulants (DOAC) versus warfarin for the treatment of left ventricular thrombus (LVT) in patients with or without cardiorenal comorbidities, including CKD (chronic kidney disease) and atrial fibrillation: a systematic review and meta-analysis. Circulation. 2021;144(Suppl_1):A12654–A12654.CrossRef
54.
Zurück zum Zitat Huang L, et al. Systematic review of efficacy of direct oral anticoagulants and vitamin K antagonists in left ventricular thrombus. ESC Heart Failure. 2022;9(5):3519–32.PubMedPubMedCentralCrossRef Huang L, et al. Systematic review of efficacy of direct oral anticoagulants and vitamin K antagonists in left ventricular thrombus. ESC Heart Failure. 2022;9(5):3519–32.PubMedPubMedCentralCrossRef
55.
Zurück zum Zitat Condello F, et al. Direct oral anticoagulants versus vitamin K antagonists in the treatment of left ventricular thrombosis: a systematic review and meta-analysis. Minerva Cardiol Angiol. 2022;70(6):666–76.PubMed Condello F, et al. Direct oral anticoagulants versus vitamin K antagonists in the treatment of left ventricular thrombosis: a systematic review and meta-analysis. Minerva Cardiol Angiol. 2022;70(6):666–76.PubMed
56.
Zurück zum Zitat Isa WYHW, et al. Apixaban versus warfarin in patients with left ventricular thrombus: a pilot prospective randomized outcome blinded study investigating size reduction or resolution of left ventricular thrombus. J Clin Prev Cardiol. 2020;9(4):150.CrossRef Isa WYHW, et al. Apixaban versus warfarin in patients with left ventricular thrombus: a pilot prospective randomized outcome blinded study investigating size reduction or resolution of left ventricular thrombus. J Clin Prev Cardiol. 2020;9(4):150.CrossRef
57.
Zurück zum Zitat Alcalai R, et al. Apixaban vs. warfarin in patients with left ventricular thrombus: a prospective multicentre randomized clinical trial. Eur Heart J Cardiovasc Pharmacother. 2022;8(7):660–7.PubMedCrossRef Alcalai R, et al. Apixaban vs. warfarin in patients with left ventricular thrombus: a prospective multicentre randomized clinical trial. Eur Heart J Cardiovasc Pharmacother. 2022;8(7):660–7.PubMedCrossRef
58.
Zurück zum Zitat Abdelnabi M, et al. Comparative study of oral anticoagulation in left ventricular thrombi (No-LVT Trial). J Am College Cardiol. 2021;77(12):1590–2.CrossRef Abdelnabi M, et al. Comparative study of oral anticoagulation in left ventricular thrombi (No-LVT Trial). J Am College Cardiol. 2021;77(12):1590–2.CrossRef
59.
Zurück zum Zitat He J, et al. Rationale and design of a prospective multi-center randomized trial of EARLY treatment by rivaroxaban versus warfarin in ST-segment elevation MYOcardial infarction with Left Ventricular Thrombus (EARLY-MYO-LVT trial). Ann Transl Med. 2020;8(6):392.PubMedPubMedCentralCrossRef He J, et al. Rationale and design of a prospective multi-center randomized trial of EARLY treatment by rivaroxaban versus warfarin in ST-segment elevation MYOcardial infarction with Left Ventricular Thrombus (EARLY-MYO-LVT trial). Ann Transl Med. 2020;8(6):392.PubMedPubMedCentralCrossRef
60.
Zurück zum Zitat Shokr M, et al. Use of direct oral anticoagulants in the treatment of left ventricular thrombi: a tertiary center experience and review of the literature. Clin Case Rep. 2018;7(1):135–42.PubMedPubMedCentralCrossRef Shokr M, et al. Use of direct oral anticoagulants in the treatment of left ventricular thrombi: a tertiary center experience and review of the literature. Clin Case Rep. 2018;7(1):135–42.PubMedPubMedCentralCrossRef
61.
Zurück zum Zitat Makrides Constantinos Andreas. Resolution of left ventricular postinfarction thrombi in patients undergoing percutaneous coronary intervention using rivaroxaban in addition to dual antiplatelet therapy. BMJ case reports. 2016;2016(bcr2016217843):26. Makrides Constantinos Andreas. Resolution of left ventricular postinfarction thrombi in patients undergoing percutaneous coronary intervention using rivaroxaban in addition to dual antiplatelet therapy. BMJ case reports. 2016;2016(bcr2016217843):26.
63.
Zurück zum Zitat Falanga A, et al. Venous thromboembolism in cancer patients: ESMO Clinical Practice Guideline. Ann Oncology Off J Eur Soc Med Oncol. 2023;34(5):452–67. Falanga A, et al. Venous thromboembolism in cancer patients: ESMO Clinical Practice Guideline. Ann Oncology Off J Eur Soc Med Oncol. 2023;34(5):452–67.
64.
Zurück zum Zitat Young AM, et al. Comparison of an oral factor Xa inhibitor with low molecular weight heparin in patients with cancer with venous thromboembolism: results of a randomized trial (SELECT-D). J Clin Oncol: Off J Am Soc Clin Oncol. 2018;36(20):2017–23.CrossRef Young AM, et al. Comparison of an oral factor Xa inhibitor with low molecular weight heparin in patients with cancer with venous thromboembolism: results of a randomized trial (SELECT-D). J Clin Oncol: Off J Am Soc Clin Oncol. 2018;36(20):2017–23.CrossRef
65.
Zurück zum Zitat McBane RD 2nd, et al. Apixaban and dalteparin in active malignancy-associated venous thromboembolism: the ADAM VTE trial. J Thromb Haemost: JTH. 2020;18(2):411–21.PubMedCrossRef McBane RD 2nd, et al. Apixaban and dalteparin in active malignancy-associated venous thromboembolism: the ADAM VTE trial. J Thromb Haemost: JTH. 2020;18(2):411–21.PubMedCrossRef
66.
Zurück zum Zitat Agnelli G, et al. Apixaban for the treatment of venous thromboembolism associated with cancer. N Engl J Med. 2020;382(17):1599–607.PubMedCrossRef Agnelli G, et al. Apixaban for the treatment of venous thromboembolism associated with cancer. N Engl J Med. 2020;382(17):1599–607.PubMedCrossRef
67.
Zurück zum Zitat Raskob GE, et al. Edoxaban for the treatment of cancer-associated venous thromboembolism. N Engl J Med. 2018;378(7):615–24.PubMedCrossRef Raskob GE, et al. Edoxaban for the treatment of cancer-associated venous thromboembolism. N Engl J Med. 2018;378(7):615–24.PubMedCrossRef
68.
Zurück zum Zitat Planquette B, et al. Rivaroxaban vs dalteparin in cancer-associated thromboembolism: a randomized trial. Chest. 2022;161(3):781–90.PubMedCrossRef Planquette B, et al. Rivaroxaban vs dalteparin in cancer-associated thromboembolism: a randomized trial. Chest. 2022;161(3):781–90.PubMedCrossRef
69.
Zurück zum Zitat Lee AYY, et al. Low-molecular-weight heparin versus a coumarin for the prevention of recurrent venous thromboembolism in patients with cancer. N Engl J Med. 2003;349(2):146–53.PubMedCrossRef Lee AYY, et al. Low-molecular-weight heparin versus a coumarin for the prevention of recurrent venous thromboembolism in patients with cancer. N Engl J Med. 2003;349(2):146–53.PubMedCrossRef
70.
Zurück zum Zitat Sabatino J, et al. Direct oral anticoagulants in patients with active cancer: a systematic review and meta-analysis. JACC: CardioOncology. 2020;2(3):428–40.PubMedPubMedCentral Sabatino J, et al. Direct oral anticoagulants in patients with active cancer: a systematic review and meta-analysis. JACC: CardioOncology. 2020;2(3):428–40.PubMedPubMedCentral
71.
Zurück zum Zitat Toyoda K. Antithrombotic therapy for pregnant women. Neurol Med Chir. 2013;53(8):526–30.CrossRef Toyoda K. Antithrombotic therapy for pregnant women. Neurol Med Chir. 2013;53(8):526–30.CrossRef
72.
Zurück zum Zitat Youssef G. “Management of atrial fibrillation during pregnancy.” E-Journal of Cardiology Practice. 2019. Vol. 17, N° 15 - 17 Jul 2019 Youssef G. “Management of atrial fibrillation during pregnancy.” E-Journal of Cardiology Practice. 2019. Vol. 17, N° 15 - 17 Jul 2019
73.
Zurück zum Zitat Beyer-Westendorf J, et al. Safety of direct oral anticoagulant exposure during pregnancy: a retrospective cohort study. Lancet Haematol. 2020;7(12):e884–91.PubMedCrossRef Beyer-Westendorf J, et al. Safety of direct oral anticoagulant exposure during pregnancy: a retrospective cohort study. Lancet Haematol. 2020;7(12):e884–91.PubMedCrossRef
74.
Zurück zum Zitat Beyer-Westendorf J, Marten S, Michalski F. Outcome of NOAC exposure during pregnancy (... and the problem of event reporting...). Blood. 2015;126(23):1125.CrossRef Beyer-Westendorf J, Marten S, Michalski F. Outcome of NOAC exposure during pregnancy (... and the problem of event reporting...). Blood. 2015;126(23):1125.CrossRef
75.
Zurück zum Zitat Said S, Hernandez GT. The link between chronic kidney disease and cardiovascular disease. J Nephropathol. 2014;3(3):99–104.PubMedPubMedCentral Said S, Hernandez GT. The link between chronic kidney disease and cardiovascular disease. J Nephropathol. 2014;3(3):99–104.PubMedPubMedCentral
76.
Zurück zum Zitat Lau YC, et al. Atrial fibrillation and thromboembolism in patients with chronic kidney disease. J Am College Cardiol. 2016;68(13):1452–64.CrossRef Lau YC, et al. Atrial fibrillation and thromboembolism in patients with chronic kidney disease. J Am College Cardiol. 2016;68(13):1452–64.CrossRef
77.
Zurück zum Zitat Christiansen CF, et al. Kidney disease and risk of venous thromboembolism: a nationwide population-based case-control study. J Thromb Haemost: JTH. 2014;12(9):1449–54.PubMedCrossRef Christiansen CF, et al. Kidney disease and risk of venous thromboembolism: a nationwide population-based case-control study. J Thromb Haemost: JTH. 2014;12(9):1449–54.PubMedCrossRef
78.
Zurück zum Zitat Rogula S, et al. Safety and efficacy of DOACs in patients with advanced and end-stage renal disease. Int J Environ Res Public Health. 2022;19(3):1436.PubMedPubMedCentralCrossRef Rogula S, et al. Safety and efficacy of DOACs in patients with advanced and end-stage renal disease. Int J Environ Res Public Health. 2022;19(3):1436.PubMedPubMedCentralCrossRef
79.
Zurück zum Zitat Jain N, Reilly RF. Clinical pharmacology of oral anticoagulants in patients with kidney disease. Clin J Am Soc Nephrol: CJASN. 2019;14(2):278–87.PubMedCrossRef Jain N, Reilly RF. Clinical pharmacology of oral anticoagulants in patients with kidney disease. Clin J Am Soc Nephrol: CJASN. 2019;14(2):278–87.PubMedCrossRef
80.
Zurück zum Zitat Kumar S, et al. Anticoagulation in concomitant chronic kidney disease and atrial fibrillation: JACC Review Topic of the Week. J Am College Cardiol. 2019;74(17):2204–15.CrossRef Kumar S, et al. Anticoagulation in concomitant chronic kidney disease and atrial fibrillation: JACC Review Topic of the Week. J Am College Cardiol. 2019;74(17):2204–15.CrossRef
81.
82.
Zurück zum Zitat ROCKET AF Study Investigators. Rivaroxaban-once daily, oral, direct factor Xa inhibition compared with vitamin K antagonism for prevention of stroke and Embolism Trial in Atrial Fibrillation: rationale and design of the ROCKET AF study. Am Heart J. 2010;159(3):340-347.e1.CrossRef ROCKET AF Study Investigators. Rivaroxaban-once daily, oral, direct factor Xa inhibition compared with vitamin K antagonism for prevention of stroke and Embolism Trial in Atrial Fibrillation: rationale and design of the ROCKET AF study. Am Heart J. 2010;159(3):340-347.e1.CrossRef
83.
Zurück zum Zitat Landman GW, Gans ROB. Oral rivaroxaban for symptomatic venous thromboembolism. N Engl J Med. 2011;364(12):1178.PubMedCrossRef Landman GW, Gans ROB. Oral rivaroxaban for symptomatic venous thromboembolism. N Engl J Med. 2011;364(12):1178.PubMedCrossRef
84.
Zurück zum Zitat Connolly SJ, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;361(12):1139–51.PubMedCrossRef Connolly SJ, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;361(12):1139–51.PubMedCrossRef
85.
Zurück zum Zitat Schulman S, et al. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. N Engl J Med. 2009;361(24):2342–52.PubMedCrossRef Schulman S, et al. Dabigatran versus warfarin in the treatment of acute venous thromboembolism. N Engl J Med. 2009;361(24):2342–52.PubMedCrossRef
86.
Zurück zum Zitat Giugliano RP, et al. Edoxaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2013;369(22):2093–104.PubMedCrossRef Giugliano RP, et al. Edoxaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2013;369(22):2093–104.PubMedCrossRef
87.
Zurück zum Zitat Investigators H-VTE, et al. Edoxaban versus warfarin for the treatment of symptomatic venous thromboembolism. N Engl J Med. 2013;369(15):1406–15.CrossRef Investigators H-VTE, et al. Edoxaban versus warfarin for the treatment of symptomatic venous thromboembolism. N Engl J Med. 2013;369(15):1406–15.CrossRef
88.
Zurück zum Zitat Lopes RD, et al. Apixaban for reduction in stroke and other ThromboemboLic events in atrial fibrillation (ARISTOTLE) trial: design and rationale. Am Heart J. 2010;159(3):331–9.PubMedCrossRef Lopes RD, et al. Apixaban for reduction in stroke and other ThromboemboLic events in atrial fibrillation (ARISTOTLE) trial: design and rationale. Am Heart J. 2010;159(3):331–9.PubMedCrossRef
89.
Zurück zum Zitat Agnelli G, et al. Oral apixaban for the treatment of acute venous thromboembolism. N Engl J Med. 2013;369(9):799–808.PubMedCrossRef Agnelli G, et al. Oral apixaban for the treatment of acute venous thromboembolism. N Engl J Med. 2013;369(9):799–808.PubMedCrossRef
90.
Zurück zum Zitat Steffel J, et al. 2021 European Heart Rhythm Association practical guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation. Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2021;23(10):1612–76.CrossRef Steffel J, et al. 2021 European Heart Rhythm Association practical guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation. Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2021;23(10):1612–76.CrossRef
92.
Zurück zum Zitat Harrington, Josephine et al. “Direct Oral Anticoagulants Versus Warfarin Across the Spectrum of Kidney Function: Patient-Level Network Meta-Analyses From COMBINE AF.” Circulation. 2023;147,23:1748-1757. Harrington, Josephine et al. “Direct Oral Anticoagulants Versus Warfarin Across the Spectrum of Kidney Function: Patient-Level Network Meta-Analyses From COMBINE AF.” Circulation. 2023;147,23:1748-1757.
93.
Zurück zum Zitat Bohula EA, et al. Impact of Renal function on outcomes with edoxaban in the ENGAGE AF-TIMI 48 trial. Circulation. 2016;134(1):24–36.PubMedCrossRef Bohula EA, et al. Impact of Renal function on outcomes with edoxaban in the ENGAGE AF-TIMI 48 trial. Circulation. 2016;134(1):24–36.PubMedCrossRef
94.
Zurück zum Zitat Yu HT, et al. Impact of renal function on outcomes with edoxaban in real-world patients with atrial fibrillation. Stroke. 2018;49(10):2421–9.PubMedCrossRef Yu HT, et al. Impact of renal function on outcomes with edoxaban in real-world patients with atrial fibrillation. Stroke. 2018;49(10):2421–9.PubMedCrossRef
95.
Zurück zum Zitat Wang Y, et al. Efficacy and safety of renal function on edoxaban versus warfarin for atrial fibrillation: a systematic review and meta-analysis. Medicines (Basel, Switzerland). 2023;10(1):13.PubMed Wang Y, et al. Efficacy and safety of renal function on edoxaban versus warfarin for atrial fibrillation: a systematic review and meta-analysis. Medicines (Basel, Switzerland). 2023;10(1):13.PubMed
97.
Zurück zum Zitat Siontis KC, et al. Outcomes associated with apixaban use in patients with end-stage kidney disease and atrial fibrillation in the United States. Circulation. 2018;138(15):1519–29.PubMedPubMedCentralCrossRef Siontis KC, et al. Outcomes associated with apixaban use in patients with end-stage kidney disease and atrial fibrillation in the United States. Circulation. 2018;138(15):1519–29.PubMedPubMedCentralCrossRef
98.
Zurück zum Zitat Miao B, et al. Rivaroxaban versus apixaban in non-valvular atrial fibrillation patients with end-stage renal disease or receiving dialysis. Eur J Haematol. 2020;104(4):328–35.PubMedCrossRef Miao B, et al. Rivaroxaban versus apixaban in non-valvular atrial fibrillation patients with end-stage renal disease or receiving dialysis. Eur J Haematol. 2020;104(4):328–35.PubMedCrossRef
99.
Zurück zum Zitat Pokorney SD, et al. Apixaban for patients with atrial fibrillation on hemodialysis: a multicenter randomized controlled trial. Circulation. 2022;146(23):1735–45.PubMedCrossRef Pokorney SD, et al. Apixaban for patients with atrial fibrillation on hemodialysis: a multicenter randomized controlled trial. Circulation. 2022;146(23):1735–45.PubMedCrossRef
100.
Zurück zum Zitat Reinecke H, et al. A randomized controlled trial comparing apixaban with the vitamin K antagonist phenprocoumon in patients on chronic hemodialysis: the AXADIA-AFNET 8 study. Circulation. 2023;147(4):296–309.PubMedCrossRef Reinecke H, et al. A randomized controlled trial comparing apixaban with the vitamin K antagonist phenprocoumon in patients on chronic hemodialysis: the AXADIA-AFNET 8 study. Circulation. 2023;147(4):296–309.PubMedCrossRef
101.
Zurück zum Zitat Strategies for the management of atrial fibrillation in patients receiving dialysis (SAFE-D). 2019. ClinicalTrials.gov. Access 25 April 2023. Strategies for the management of atrial fibrillation in patients receiving dialysis (SAFE-D). 2019. ClinicalTrials.​gov. Access 25 April 2023.
102.
Zurück zum Zitat Semmler G, et al. Safety of direct oral anticoagulants in patients with advanced liver disease. Liver Int: Off J Int Assoc Study Liver. 2021;41(9):2159–70.CrossRef Semmler G, et al. Safety of direct oral anticoagulants in patients with advanced liver disease. Liver Int: Off J Int Assoc Study Liver. 2021;41(9):2159–70.CrossRef
103.
Zurück zum Zitat O’Leary JG, et al. AGA clinical practice update: coagulation in cirrhosis. Gastroenterology. 2019;157(1):34-43.e1.PubMedCrossRef O’Leary JG, et al. AGA clinical practice update: coagulation in cirrhosis. Gastroenterology. 2019;157(1):34-43.e1.PubMedCrossRef
104.
Zurück zum Zitat Qamar A, et al. Oral anticoagulation in patients with liver disease. J Am College Cardiol. 2018;71(19):2162–75.CrossRef Qamar A, et al. Oral anticoagulation in patients with liver disease. J Am College Cardiol. 2018;71(19):2162–75.CrossRef
105.
Zurück zum Zitat Lawal OD, et al. Comparative effectiveness and safety of direct oral anticoagulants and warfarin in patients with atrial fibrillation and chronic liver disease: a nationwide cohort study. Circulation. 2023;147(10):782–94.PubMedCrossRef Lawal OD, et al. Comparative effectiveness and safety of direct oral anticoagulants and warfarin in patients with atrial fibrillation and chronic liver disease: a nationwide cohort study. Circulation. 2023;147(10):782–94.PubMedCrossRef
106.
Zurück zum Zitat Chagnac A, et al. Glomerular hemodynamics in severe obesity. Am J Physiol Renal Physiol. 2000;278(5):F817–22.PubMedCrossRef Chagnac A, et al. Glomerular hemodynamics in severe obesity. Am J Physiol Renal Physiol. 2000;278(5):F817–22.PubMedCrossRef
107.
Zurück zum Zitat Wallace JL, et al. Comparison of initial warfarin response in obese patients versus non-obese patients. J Thromb Thrombolysis. 2013;36(1):96–101.PubMedCrossRef Wallace JL, et al. Comparison of initial warfarin response in obese patients versus non-obese patients. J Thromb Thrombolysis. 2013;36(1):96–101.PubMedCrossRef
108.
Zurück zum Zitat Malik AH, et al. Impact of weight on the efficacy and safety of direct-acting oral anticoagulants in patients with non-valvular atrial fibrillation: a meta-analysis. Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2020;22(3):361–7.CrossRef Malik AH, et al. Impact of weight on the efficacy and safety of direct-acting oral anticoagulants in patients with non-valvular atrial fibrillation: a meta-analysis. Europace: Eur Pacing, Arrhythmias, Cardiac Electrophysiol: J Working Groups Cardiac Pacing, Arrhythmias, Cardiac Cell Electrophysiol Eur Soc Cardiol. 2020;22(3):361–7.CrossRef
109.
Zurück zum Zitat Martin K, et al. Use of the direct oral anticoagulants in obese patients: guidance from the SSC of the ISTH. J Thromb Haemost: JTH. 2016;14(6):1308–13.PubMedCrossRef Martin K, et al. Use of the direct oral anticoagulants in obese patients: guidance from the SSC of the ISTH. J Thromb Haemost: JTH. 2016;14(6):1308–13.PubMedCrossRef
110.
Zurück zum Zitat Piran S, et al. Peak plasma concentration of direct oral anticoagulants in obese patients weighing over 120 kilograms: a retrospective study. Res Pract Thromb Haemost. 2018;2(4):684–8.PubMedPubMedCentralCrossRef Piran S, et al. Peak plasma concentration of direct oral anticoagulants in obese patients weighing over 120 kilograms: a retrospective study. Res Pract Thromb Haemost. 2018;2(4):684–8.PubMedPubMedCentralCrossRef
111.
Zurück zum Zitat Coons, James C., et al. Effectiveness and safety of direct oral anticoagulants versus warfarin in obese patients with acute venous thromboembolism. Pharmacother J Human Pharmacol Drug Ther 2020;40.3:204-210. Coons, James C., et al. Effectiveness and safety of direct oral anticoagulants versus warfarin in obese patients with acute venous thromboembolism. Pharmacother J Human Pharmacol Drug Ther 2020;40.3:204-210.
112.
Zurück zum Zitat Mhanna M, et al. Direct oral anticoagulants versus warfarin in morbidly obese patients with nonvalvular atrial fibrillation: a systematic review and meta-analysis. Am J Ther. 2021;28(5):e531–9.PubMedCrossRef Mhanna M, et al. Direct oral anticoagulants versus warfarin in morbidly obese patients with nonvalvular atrial fibrillation: a systematic review and meta-analysis. Am J Ther. 2021;28(5):e531–9.PubMedCrossRef
113.
Zurück zum Zitat Park CS, et al. Increased risk of major bleeding in underweight §patients with atrial fibrillation who were prescribed non-vitamin K antagonist oral anticoagulants. Heart Rhythm. 2017;14(4):501–7.PubMedCrossRef Park CS, et al. Increased risk of major bleeding in underweight §patients with atrial fibrillation who were prescribed non-vitamin K antagonist oral anticoagulants. Heart Rhythm. 2017;14(4):501–7.PubMedCrossRef
114.
Zurück zum Zitat Boriani G, et al. Relationship between body mass index and outcomes in patients with atrial fibrillation treated with edoxaban or warfarin in the ENGAGE AF-TIMI 48 trial. Eur Heart J. 2019;40(19):1541–50.PubMedCrossRef Boriani G, et al. Relationship between body mass index and outcomes in patients with atrial fibrillation treated with edoxaban or warfarin in the ENGAGE AF-TIMI 48 trial. Eur Heart J. 2019;40(19):1541–50.PubMedCrossRef
115.
Zurück zum Zitat Hohnloser SH, et al. Efficacy and safety of apixaban versus warfarin in patients with atrial fibrillation and extremes in body weight. Circulation. 2019;139(20):2292–300.PubMedCrossRef Hohnloser SH, et al. Efficacy and safety of apixaban versus warfarin in patients with atrial fibrillation and extremes in body weight. Circulation. 2019;139(20):2292–300.PubMedCrossRef
116.
Zurück zum Zitat Lee C-H, et al. Body mass index is an independent predictor of major bleeding in non-valvular atrial fibrillation patients taking dabigatran. Int J Cardiol. 2017;228:771–8.PubMedCrossRef Lee C-H, et al. Body mass index is an independent predictor of major bleeding in non-valvular atrial fibrillation patients taking dabigatran. Int J Cardiol. 2017;228:771–8.PubMedCrossRef
Metadaten
Titel
Direct Oral Anticoagulants: Navigating Through Clinical Challenges
verfasst von
Maria Ioannou
Elena Leonidou
Ioanna Chaziri
Angeliki Mouzarou
Publikationsdatum
08.08.2023
Verlag
Springer US
Erschienen in
Cardiovascular Drugs and Therapy / Ausgabe 3/2024
Print ISSN: 0920-3206
Elektronische ISSN: 1573-7241
DOI
https://doi.org/10.1007/s10557-023-07499-0

Kompaktes Leitlinien-Wissen Innere Medizin (Link öffnet in neuem Fenster)

Mit medbee Pocketcards schnell und sicher entscheiden.
Leitlinien-Wissen kostenlos und immer griffbereit auf ihrem Desktop, Handy oder Tablet.

Neu im Fachgebiet Kardiologie

Koronare Herzkrankheit: Das waren die Top-Studien 2024

Zum Thema Koronare Herzkrankheit gab es 2024 wichtige neue Studien. Beleuchtet wurden darin unter anderem der Stellenwert von Betablockern nach Herzinfarkt, neue Optionen für eine Lipidsenkung sowie die Therapie bei infarktbedingtem kardiogenem Schock.

Kaffeegenuss sicher bei Vorhofflimmern

Menschen mit Vorhofflimmern fürchten oft, Kaffee könnte schlecht für ihr Herz sein. Solche Ängste sind offenbar unbegründet: Zwei Schweizer Untersuchungen deuten sogar auf eine reduzierte Rate von kardiovaskulären Ereignissen unter Kaffeetrinkern.

Mit jedem Defibrillationsversuch sinkt die Überlebenschance

Wie wirkt es sich auf die Prognose aus, wenn bei Herzstillstand einmal, zweimal oder gar 29 Mal geschockt werden muss? Laut einer aktuellen Studie besteht ein deutlicher Zusammenhang zwischen der Zahl der Defibrillationsversuche und den Überlebenschancen.

Mit Spenderherz von Triathlon zu Triathlon

Ein 50-Jähriger mit Spenderherz rennt, radelt und schwimmt bis zu 14 Stunden in der Woche – beim Hawaii-Triathlon erreicht er einen Platz im Mittelfeld. Sein neues Herz kann sich an die Belastung erstaunlich gut anpassen. Selbst mit 65 Jahren ist er noch ungewöhnlich fit.

EKG Essentials: EKG befunden mit System (Link öffnet in neuem Fenster)

In diesem CME-Kurs können Sie Ihr Wissen zur EKG-Befundung anhand von zwölf Video-Tutorials auffrischen und 10 CME-Punkte sammeln.
Praxisnah, relevant und mit vielen Tipps & Tricks vom Profi.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.