Prescription patterns of oral anticoagulants for patients with non-valvular atrial fibrillation: experience at a Japanese single institution

New oral anticoagulants (NOACs) are now clinically available. However, few studies have demonstrated which patients with non-valvular atrial fibrillation (NVAF) actually receive NOACs in a clinical setting. We analyzed 182 NVAF patients who received oral anticoagulants. Clinical backgrounds and the...

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Veröffentlicht in:Heart and vessels 2016-06, Vol.31 (6), p.957-962
Hauptverfasser: Tagaya, Manaka, Yoshikawa, Daiji, Sugishita, Yoshinori, Yamauchi, Fumi, Ito, Takehiro, Kamada, Tomohito, Yoshinaga, Masataka, Mukaide, Daisuke, Fujiwara, Wakaya, Yokoi, Hiroatsu, Hayashi, Mutsuharu, Watanabe, Eiichi, Ishii, Junichi, Ozaki, Yukio, Izawa, Hideo
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Sprache:eng
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Zusammenfassung:New oral anticoagulants (NOACs) are now clinically available. However, few studies have demonstrated which patients with non-valvular atrial fibrillation (NVAF) actually receive NOACs in a clinical setting. We analyzed 182 NVAF patients who received oral anticoagulants. Clinical backgrounds and the risk of stroke, systemic embolism, and bleeding associated with oral anticoagulants were investigated. Seventy-three (40 %) patients were treated with NOACs and 109 (60 %) patients were treated with warfarin. A significantly lower mean number of bleeding risk factors was observed among the patients treated with NOACs than among those treated with warfarin ( P  = 0.010). Of the bleeding risk factors, NOACs were significantly less frequently prescribed in patients with a bleeding history and elderly subjects (>65 years) than in those who received warfarin ( P  
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-015-0694-9