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Sökning: WFRF:(Pollack Charles V.) > (2016) > Apixaban compared w...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004283naa a2200421 4500
001oai:DiVA.org:uu-305538
003SwePub
008161019s2016 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3055382 URI
024a https://doi.org/10.1016/j.ahj.2016.06.0082 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Ezekowitz, Michael D.u Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA.;Lankenau Med Ctr, Wynnewood, PA USA.4 aut
2451 0a Apixaban compared with parenteral heparin and/or vitamin K antagonist in patients with nonvalvular atrial fibrillation undergoing cardioversion :b Rationale and design of the EMANATE trial
264 1b Elsevier BV,c 2016
338 a electronic2 rdacarrier
520 a Background: Stroke prevention in anticoagulation-nafve patients with atrial fibrillation undergoing cardioversion has not been systematically studied.Objective: To determine outcomes in anticoagulation-naive patients (defined as those receiving an anticoagulant for <48 hours during the index episode of atrial fibrillation) scheduled for cardioversion.Methods: This is a randomized, prospective, open-label, real-world study comparing apixaban to heparin plus warfarin. Early image-guided cardioversion is encouraged. For apixaban, the usual dose is 5 mg BID with a dose reduction to 2.5 mg BID if 2 of the following are present: age >80 years, weight <60 kg, or serum creatinine >1.5 mg/dL. If cardioversion is immediate, a single starting dose of 10 mg (or 5 mg if the dose is down-titrated) of apixaban is administered. Cardioversion may be attempted up to 90 days after randomization. Patients are followed up for 30 days after cardioversion or 90 days postrandomization if cardioversion is not performed within that timeframe. Outcomes are stroke, systemic embolization, major bleeds, clinically relevant nonmajor bleeding, and death, all adjudication-blinded.Statistics: The warfarin-naive cohort from the ARISTOTLE study was considered the closest data set to the patients being recruited into this study. The predicted incidence of stroke, systemic embolism, and major bleeding within 30 days after randomization was approximately 0.75%. To adequately power for a noninferiority trial, approximately 48,000 participants would be needed, a number in excess of feasibility. The figure of 1,500 patients was considered clinically meaningful and achievable.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
700a Pollack, Charles V.u Thomas Jefferson Univ, Philadelphia, PA 19107 USA.4 aut
700a Sanders, Paulu Pfizer, London, England.4 aut
700a Halperin, Jonathan L.u Icahn Sch Med Mt Sinai, New York, NY 10029 USA.4 aut
700a Spahr, Judithu Lankenau Inst Med Res, Wynnewood, PA USA.4 aut
700a Cater, Nilou Pfizer, New York, NY USA.4 aut
700a Petkun, Williamu Bristol Myers Squibb Inc, Princeton, NJ USA.4 aut
700a Breazna, Andreiu Pfizer, New York, NY USA.4 aut
700a Kirchhof, Paulusu Univ Birmingham, SWBH UHB NHS Trusts, Inst Cardiovasc Sci, Birmingham, W Midlands, England.;Univ Hosp Munster, Dept Cardiol & Angiol, Munster, Germany.4 aut
700a Oldgren, Jonasu Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)jonaoldg
710a Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA.;Lankenau Med Ctr, Wynnewood, PA USA.b Thomas Jefferson Univ, Philadelphia, PA 19107 USA.4 org
773t American Heart Journald : Elsevier BVg 179, s. 59-68q 179<59-68x 0002-8703x 1097-6744
856u https://doi.org/10.1016/j.ahj.2016.06.008y Fulltext
856u https://uu.diva-portal.org/smash/get/diva2:1040296/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u https://doi.org/10.1016/j.ahj.2016.06.008
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-305538
8564 8u https://doi.org/10.1016/j.ahj.2016.06.008

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