New orally administered anticoagulants will simplify stroke-prevention strategies in patients with atrial fibrillation (AF). Novel anticoagulants, such as dabigatran etexilate, a direct thrombin inhibitor, and rivaroxaban, a direct factor Xa inhibitor, have been approved by the US Food and Drug Administration for the prevention of stroke and systemic embolism in patients with nonvalvular AF. In addition, the factor Xa inhibitor apixaban has been reported to be as effective as warfarin in a large, randomized clinical trial, and the efficacy of edoxaban is being assessed in a phase III warfarin comparison trial. This review discusses the limitations of vitamin K antagonist therapy for patients with AF and establishes the need for alternative, effective anticoagulation with an improved benefit-risk ratio for the prevention of stroke. Novel anticoagulants have the potential to provide convenient, effective stroke prophylaxis without many of the issues inherent in the use of traditional agents.
%0 Journal Article
%1 Haft:2012:Clin-Appl-Thromb-Hemost:22952215
%A Haft, J I
%D 2012
%J Clin Appl Thromb Hemost
%K anticoagulants atrial_fibrillation stroke_prevention
%R 10.1177/1076029612458148
%T Stroke Prevention in Atrial Fibrillation: Impact of Novel Oral Anticoagulants
%U http://www.ncbi.nlm.nih.gov/pubmed/22952215
%X New orally administered anticoagulants will simplify stroke-prevention strategies in patients with atrial fibrillation (AF). Novel anticoagulants, such as dabigatran etexilate, a direct thrombin inhibitor, and rivaroxaban, a direct factor Xa inhibitor, have been approved by the US Food and Drug Administration for the prevention of stroke and systemic embolism in patients with nonvalvular AF. In addition, the factor Xa inhibitor apixaban has been reported to be as effective as warfarin in a large, randomized clinical trial, and the efficacy of edoxaban is being assessed in a phase III warfarin comparison trial. This review discusses the limitations of vitamin K antagonist therapy for patients with AF and establishes the need for alternative, effective anticoagulation with an improved benefit-risk ratio for the prevention of stroke. Novel anticoagulants have the potential to provide convenient, effective stroke prophylaxis without many of the issues inherent in the use of traditional agents.
@article{Haft:2012:Clin-Appl-Thromb-Hemost:22952215,
abstract = {New orally administered anticoagulants will simplify stroke-prevention strategies in patients with atrial fibrillation (AF). Novel anticoagulants, such as dabigatran etexilate, a direct thrombin inhibitor, and rivaroxaban, a direct factor Xa inhibitor, have been approved by the US Food and Drug Administration for the prevention of stroke and systemic embolism in patients with nonvalvular AF. In addition, the factor Xa inhibitor apixaban has been reported to be as effective as warfarin in a large, randomized clinical trial, and the efficacy of edoxaban is being assessed in a phase III warfarin comparison trial. This review discusses the limitations of vitamin K antagonist therapy for patients with AF and establishes the need for alternative, effective anticoagulation with an improved benefit-risk ratio for the prevention of stroke. Novel anticoagulants have the potential to provide convenient, effective stroke prophylaxis without many of the issues inherent in the use of traditional agents.},
added-at = {2013-03-30T19:03:13.000+0100},
author = {Haft, J I},
biburl = {https://www.bibsonomy.org/bibtex/236d00aff3fb29d89f9f014e55f025b4b/iskanbasal},
description = {Stroke Prevention in Atrial Fibrilla... [Clin Appl Thromb Hemost. 2012] - PubMed - NCBI},
doi = {10.1177/1076029612458148},
interhash = {29d4521b8939cbbe859304d20e2e8241},
intrahash = {36d00aff3fb29d89f9f014e55f025b4b},
journal = {Clin Appl Thromb Hemost},
keywords = {anticoagulants atrial_fibrillation stroke_prevention},
month = sep,
pmid = {22952215},
timestamp = {2013-03-30T19:03:14.000+0100},
title = {Stroke Prevention in Atrial Fibrillation: Impact of Novel Oral Anticoagulants},
url = {http://www.ncbi.nlm.nih.gov/pubmed/22952215},
year = 2012
}