Use of oral anticoagulants in patients with valvular atrial fibrillation: findings from the NCDR PINNACLE Registry

被引：2

作者：

Hess, Paul L. ^{[1
]}

Gosch, Kensey L. ^{[2
]}

Jani, Sandeep M. ^{[3
]}

Varosy, Paul D. ^{[1
]}

Bradley, Steven M. ^{[4
,5
]}

Maddox, Thomas M. ^{[6
,7
]}

Ho, P. Michael ^{[1
]}

Virani, Salim S. ^{[8
]}

机构：

[1] Univ Colorado, Rocky Mt Reg VA Med Ctr, Sch Med, Aurora, CO USA

[2] St Lukes Mid Amer Heart Inst, Kansas City, MO USA

[3] MedStar Heart & Vasc Inst, Baltimore, MD USA

[4] Minneapolis Heart Inst Allina Hlth, Minneapolis, MN USA

[5] Minneapolis Heart Inst Fdn, Minneapolis, MN USA

[6] Washington Univ, Sch Med, Div Cardiol, St Louis, MO USA

[7] Washington Univ, Sch Med, Healthcare Innovat Lab, BJC HealthCare, St Louis, MO USA

[8] Baylor Coll Med, Michael E DeBakey Vet Affairs Med Ctr, Houston, TX 77030 USA

来源：

AMERICAN HEART JOURNAL | 2021年 / 240卷

关键词：

HEART-DISEASE; WARFARIN; RIVAROXABAN; DABIGATRAN; EVENTS; STROKE;

D O I：

10.1016/j.ahj.2021.04.017

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Recent data suggest direct oral anticoagulants are as safe and efficacious as warfarin among select patients with valvular heart disease and atrial fibrillation (AF). However, real-world treatment patterns of AF stroke prophylaxis in the setting of valvular AF are currently unknown. Accordingly, using the prospective, ambulatory National Cardiovascular Data Registry Practice Innovation and Clinical Excellence (PINNACLE) Registry, we sought to characterize overall use, temporal trends in use, and the extent of practice-level variation in the use of any direct oral anticoagulant and warfarin among patients with valvular AF from January 1, 2013, to March 31, 2019.

引用

页码：58 / 62

页数：5

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