Novel oral anticoagulants in atrial fibrillation: which novel oral anticoagulant for which patient?

J Cardiovasc Med (Hagerstown). 2015 Jul;16(7):512-9. doi: 10.2459/JCM.0000000000000262.

Abstract

Atrial fibrillation is the most common rhythm disorder and represents a major public health problem because it carries an increased risk of arterial thromboembolism and ischemic stroke. Current european society of cardiology guidelines recommend to stratify atrial fibrillation patients according to the CHA2DS2-VASc score and to administer anticoagulation, preferably with novel oral anticoagulants, that is, dabigatran, rivaroxaban, or apixaban, if the CHA2DS2-VASc score is at least 1. All novel anticoagulants have shown the same, if not greater, efficacy and safety as warfarin, with some advantages. The choice among the novel oral anticoagulants depends on their different pharmacokinetic profile, patients' stroke and bleeding risk, comorbidities, drug tolerability and costs and, finally, patients' preferences.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Anticoagulants / administration & dosage*
  • Anticoagulants / pharmacokinetics
  • Anticoagulants / therapeutic use
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / drug therapy*
  • Atrial Fibrillation / metabolism
  • Clinical Trials, Phase III as Topic
  • Humans
  • Practice Guidelines as Topic
  • Severity of Illness Index
  • Stroke / prevention & control

Substances

  • Anticoagulants