Antithrombotic therapy in atrial fibrillation: evaluation and positioning of new oral anticoagulant agents.

作者: Satoshi Ogawa , Yukihiro Koretsune , Masahiro Yasaka , Yoshifusa Aizawa , Hirotsugu Atarashi

DOI: 10.1253/CIRCJ.CJ-11-0304

关键词: DabigatranIntensive care medicineAntithromboticDirect thrombin inhibitorStrokeWarfarinAtrial fibrillationFibrinolytic agentAnticoagulantMedicine

摘要: Atrial fibrillation (AF) is the most common cardiac rhythm disorder and a major risk factor for stroke. For more than 60 years, warfarin has been only approved anticoagulant prevention of stroke in patients with AF. Although highly effective, it many limitations that make its use difficult. Therefore, several novel anticoagulants are under development to overcome warfarin, some these have entered phase III clinical trials. Dabigatran an oral, reversible direct thrombin inhibitor Europe other countries venous thromboembolism after elective knee hip replacement surgery. It also United States Japan systemic embolism nonvalvular In this review, mechanism action pharmacological properties new described detail, correct dabigatran practice discussed.

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