Abstract:
BACKGROUND:Limited data are available on major bleeding (MB) occurring during treatment with vitamin K (VKAs) or direct oral anticoagulants (DOACs) outside clinical trials. METHODS:Patients hospitalized for MB while on treatment with VKAs or DOACs were included in a multicenter study to compare clinical presentation, management and outcome of bleeding. The primary study outcome was death at 30days. RESULTS:Between September 2013 and September 2015, 806 patients were included in the study, 76% on VKAs and 24% on DOACs. MB was an intracranial hemorrhage in 51% and 21% patients on VKAs or DOACs, respectively (Odds Ratio [OR] 3.79; 95% confidence interval [CI] 2.59-5.54) a gastrointestinal bleeding in 46% and 25% patients on DOACs and VKAs, respectively (OR 2.62; 95% CI 1.87-3.68). Death at 30days occurred in 130 patients (16%), 18% and 9% of VKA and DOAC patients (HR 1.95; 95% CI 1.19-3.22, p=0.008). The rate of death at 30days was similar in VKA and DOAC patients with intracranial hemorrhage (26% and 24%; HR 1.05, 95% CI 0.54-2.02) and gastrointestinal bleeding (11% and 7%; HR 1.46, 95% CI 0.57-3.74) and higher in VKA than DOAC patients with other MBs (10% and 3%; HR 3.42, 95% CI 0.78-15.03). CONCLUSIONS:Admission for ICH is less frequent for DOAC patients compared with VKA patients. Admission for gastrointestinal MB is more frequent for DOAC as compared to VKA patients. Mortality seems lower in patients with MBs while on DOACs than VKAs but this finding varies across different types of MBs.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Becattini C,Franco L,Beyer-Westendorf J,Masotti L,Nitti C,Vanni S,Manina G,Cattinelli S,Cappelli R,Sbrojavacca R,Pomero F,Marten S,Agnelli Gdoi
10.1016/j.ijcard.2016.11.117subject
Has Abstractpub_date
2017-01-15 00:00:00pages
261-266eissn
0167-5273issn
1874-1754pii
S0167-5273(16)33576-8journal_volume
227pub_type
杂志文章,多中心研究abstract::Cardiomyopathies (CMPs) are a heterogeneous group of heart muscle diseases with several different phenotypes defined as myocardial disorders in which the heart muscle is structurally and functionally abnormal in the absence of coronary artery disease, hypertension, valvular heart disease and congenital heart disease s...
journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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更新日期:2007-03-20 00:00:00
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pub_type: 杂志文章,评审
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abstract:BACKGROUND:Conflicting data have been reported about the nature (physiologic versus pathologic) of left ventricular (LV) hypertrophy in master athletes. AIM OF THE STUDY:To analyze LV and right ventricular (RV) myocardial function in master athletes with LV hypertrophy induced by either endurance or strength training....
journal_title:International journal of cardiology
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更新日期:2007-02-14 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:2013-03-10 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2006-04-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Atrial fibrillation (AF) is the most frequently encountered arrhythmia in the clinical setting. However, a comprehensive investigation of the molecular mechanism of AF has not been performed. The aim of this study was to clarify transcriptional profiling of genes modulated in the atrium of AF patients using ...
journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2005-07-10 00:00:00