Weitz Jeffrey I
Departments of Medicine and Biochemistry and Biomedical Sciences, The Thrombosis and Atherosclerosis Research Institute, McMaster University, 237 Barton Street East, Hamilton, ON, L8L 2X2, Canada,
J Thromb Thrombolysis. 2015 Apr;39(3):264-72. doi: 10.1007/s11239-015-1194-6.
Oral anticoagulants are a mainstay for the prevention and treatment of venous and arterial thrombosis. In 2015, the non-vitamin K oral anticoagulants (NOACs) are already replacing warfarin for many indications. Ongoing studies are focused on development of antidotes and specific reversal agents for the NOACs, and assessing their utility for prevention of cardiovascular events in patients with heart failure, coronary or peripheral artery disease, or embolic stroke of unknown source. This paper (a) lists the current indications for the NOACs; (b) reviews the current impact of the NOACs in each of these indications;
口服抗凝剂是预防和治疗静脉及动脉血栓形成的主要药物。2015年,非维生素K口服抗凝剂(NOACs)已在许多适应症上取代华法林。正在进行的研究集中在开发NOACs的解毒剂和特异性逆转剂,并评估它们在心力衰竭、冠状动脉或外周动脉疾病患者或不明来源栓塞性卒中患者中预防心血管事件的效用。本文(a)列出了NOACs的当前适应症;(b)综述了NOACs在这些适应症中的当前影响;