EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION

Atrial fibrillation (AF) is one of the most prevalent rhythm disorders and might be associated with the high risk of thromboembolic complications, including stroke. For risk estimation, of the thrombotic complications, a variety of scores has been implemented, including CHA2DS2-VASc Score. According...

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Main Authors: S. K. Zyryanov, A. P. Pereverzev
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2017-07-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/2473
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author S. K. Zyryanov
A. P. Pereverzev
author_facet S. K. Zyryanov
A. P. Pereverzev
author_sort S. K. Zyryanov
collection DOAJ
description Atrial fibrillation (AF) is one of the most prevalent rhythm disorders and might be associated with the high risk of thromboembolic complications, including stroke. For risk estimation, of the thrombotic complications, a variety of scores has been implemented, including CHA2DS2-VASc Score. According to the European Society of Cardiology Guidelines on AF management (2016), males showing more than 2 points, and females with more than 3 points by CHA2DS2-VASc, for embolism prevention, it is recommended to prescribe novel oral anticoagulants (NOAC). NOAC are effective and relatively safe comparing to vitamin K antagonists (VKA), are convenient being taken per os, do not have necessity of individual dosing, have rapid onset of the maximum effect (in several hours) and predictable effect in relation to dose. Among drugs from this group, dabigatran can be highlighted, which has in comparative studies shown not only high efficacy, but is the safest among all NOAC, as it does rarely lead to hemorrhagic complications and is the only NOAC for now, with the developed and available neutralizing agent — idarucizumab.
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series Российский кардиологический журнал
spelling doaj-art-33d497d8ae20489c9c34686e3e65b7e22025-08-20T03:21:09Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202017-07-010615816310.15829/1560-4071-2017-6-158-1632204EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATIONS. K. Zyryanov0A. P. Pereverzev1Peoples’ Friendship University of RussiaPeoples’ Friendship University of RussiaAtrial fibrillation (AF) is one of the most prevalent rhythm disorders and might be associated with the high risk of thromboembolic complications, including stroke. For risk estimation, of the thrombotic complications, a variety of scores has been implemented, including CHA2DS2-VASc Score. According to the European Society of Cardiology Guidelines on AF management (2016), males showing more than 2 points, and females with more than 3 points by CHA2DS2-VASc, for embolism prevention, it is recommended to prescribe novel oral anticoagulants (NOAC). NOAC are effective and relatively safe comparing to vitamin K antagonists (VKA), are convenient being taken per os, do not have necessity of individual dosing, have rapid onset of the maximum effect (in several hours) and predictable effect in relation to dose. Among drugs from this group, dabigatran can be highlighted, which has in comparative studies shown not only high efficacy, but is the safest among all NOAC, as it does rarely lead to hemorrhagic complications and is the only NOAC for now, with the developed and available neutralizing agent — idarucizumab.https://russjcardiol.elpub.ru/jour/article/view/2473strokepreventionnoacefficacysafety
spellingShingle S. K. Zyryanov
A. P. Pereverzev
EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
Российский кардиологический журнал
stroke
prevention
noac
efficacy
safety
title EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
title_full EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
title_fullStr EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
title_full_unstemmed EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
title_short EFFICACY AND SAFETY OF THE NOVEL ORAL ANTICOAGULANTS FOR PREVENTION OF STROKE AND SYSTEMIC EMBOLISM IN ATRIAL FIBRILLATION
title_sort efficacy and safety of the novel oral anticoagulants for prevention of stroke and systemic embolism in atrial fibrillation
topic stroke
prevention
noac
efficacy
safety
url https://russjcardiol.elpub.ru/jour/article/view/2473
work_keys_str_mv AT skzyryanov efficacyandsafetyofthenoveloralanticoagulantsforpreventionofstrokeandsystemicembolisminatrialfibrillation
AT appereverzev efficacyandsafetyofthenoveloralanticoagulantsforpreventionofstrokeandsystemicembolisminatrialfibrillation