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利伐沙班在142例接受利伐沙班治疗以预防卒中的非瓣膜性心房颤动患者队列中的有效性和安全性。

Effectiveness and safety of rivaroxaban in a cohort of 142 patients with nonvalvular atrial fibrillation treated with rivaroxaban for the prevention of stroke.

作者信息

Cerezo-Manchado Juan José, Navarro-Almenzar Begoña, Elvira-Ruiz Ginés, García-Candel Faustino, Flores-Blanco Pedro José, Caro-Martínez Cesar, Manzano-Fernández Sergio, García-Iniesta Natalia, Sánchez-García Javier, Cabañas-Perianes Valentín, Moraleda-Jiménez José María

机构信息

Servicio de Hematología y Hemoterapia, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.

Servicio de Cardiología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.

出版信息

Future Cardiol. 2018 May;14(3s):31-37. doi: 10.2217/fca-2018-0024.

DOI:10.2217/fca-2018-0024
PMID:29848091
Abstract

AIM

To evaluate the clinical profile and effectiveness/safety of patients taking rivaroxaban in clinical practice.

METHODS

Retrospective study that included patients with nonvalvular atrial fibrillation treated with rivaroxaban for the prevention of stroke between January 2012 and December 2016 in a tertiary hospital in Spain.

RESULTS

A total of 142 patients (median age 78 years, 40.1% men, 32.4% creatinine clearance <50 ml/min; 96.5% CHADS-VASc ≥2; 44.3% HAS-BLED ≥3) were included. Only two patients had a thromboembolic event (in both cases ischemic stroke) and three patients had major bleeding (rates of 1.3 and 1.9 events/100 patient years, respectively).

CONCLUSION

Data regarding effectiveness and safety in our cohort were consistent with previous studies, showing that rivaroxaban can be effective and safely used in our setting.

摘要

目的

评估在临床实践中服用利伐沙班的患者的临床特征及有效性/安全性。

方法

一项回顾性研究,纳入了2012年1月至2016年12月在西班牙一家三级医院接受利伐沙班治疗以预防卒中的非瓣膜性心房颤动患者。

结果

共纳入142例患者(中位年龄78岁,男性占40.1%,32.4%的患者肌酐清除率<50 ml/min;96.5%的患者CHADS-VASc评分≥2;44.3%的患者HAS-BLED评分≥3)。仅有2例患者发生血栓栓塞事件(均为缺血性卒中),3例患者发生大出血(发生率分别为1.3和1.9事件/100患者年)。

结论

我们队列中关于有效性和安全性的数据与先前研究一致,表明利伐沙班在我们的研究环境中可有效且安全地使用。

相似文献

1
Effectiveness and safety of rivaroxaban in a cohort of 142 patients with nonvalvular atrial fibrillation treated with rivaroxaban for the prevention of stroke.利伐沙班在142例接受利伐沙班治疗以预防卒中的非瓣膜性心房颤动患者队列中的有效性和安全性。
Future Cardiol. 2018 May;14(3s):31-37. doi: 10.2217/fca-2018-0024.
2
Use of rivaroxaban for the prevention of stroke in patients with nonvalvular atrial fibrillation in Spain.利伐沙班在西班牙非瓣膜性心房颤动患者中预防卒中的应用。
Future Cardiol. 2018 May;14(3s):3-8. doi: 10.2217/fca-2018-0020.
3
Clinical profile, adequacy of dosage and thromboembolic and bleeding outcomes in patients with nonvalvular atrial fibrillation treated with rivaroxaban in a regional hospital of Asturias, Spain.在西班牙阿斯图里亚斯的一家地区医院,接受利伐沙班治疗的非瓣膜性心房颤动患者的临床特征、剂量充足性以及血栓栓塞和出血结局
Future Cardiol. 2018 May;14(3s):17-24. doi: 10.2217/fca-2018-0022.
4
Anticoagulation with rivaroxaban in a hematology unit: clinical profile, events and discontinuation rates in real-life patients with nonvalvular atrial fibrillation.血液科使用利伐沙班进行抗凝治疗:非瓣膜性心房颤动真实患者的临床特征、事件及停药率
Future Cardiol. 2018 May;14(3s):25-30. doi: 10.2217/fca-2018-0023.
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Clinical profile, management and outcomes in a cohort of elderly and highly comorbid patients with nonvalvular atrial fibrillation treated with rivaroxaban in routine practice.在常规实践中接受利伐沙班治疗的老年且合并症严重的非瓣膜性心房颤动患者队列的临床特征、管理及结局
Future Cardiol. 2018 May;14(3s):39-45. doi: 10.2217/fca-2018-0025.
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Has the clinical profile of patients with nonvalvular atrial fibrillation treated with rivaroxaban changed in the last 5 years of use?在过去5年的使用中,接受利伐沙班治疗的非瓣膜性心房颤动患者的临床特征发生变化了吗?
Future Cardiol. 2018 May;14(3s):47-53. doi: 10.2217/fca-2018-0026.
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Drug persistence and outcomes in a cohort of patients with nonvalvular atrial fibrillation treated with rivaroxaban after 2 years of follow-up in clinical practice.在临床实践中对接受利伐沙班治疗的非瓣膜性心房颤动患者队列进行2年随访后的药物持续性及结果
Future Cardiol. 2018 May;14(3s):9-16. doi: 10.2217/fca-2018-0021.
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Effectiveness and safety of rivaroxaban in nonvalvular atrial fibrillation: data from a contemporary Spanish registry.利伐沙班在非瓣膜性心房颤动中的有效性和安全性:来自当代西班牙注册研究的数据。
Curr Med Res Opin. 2019 Aug;35(8):1463-1471. doi: 10.1080/03007995.2019.1600483. Epub 2019 Apr 15.
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CHADS-VASc Scores and Major Bleeding in Patients With Nonvalvular Atrial Fibrillation Who Are Receiving Rivaroxaban.接受利伐沙班治疗的非瓣膜性心房颤动患者的CHADS-VASc评分与严重出血
Ann Emerg Med. 2017 May;69(5):541-550.e1. doi: 10.1016/j.annemergmed.2016.09.032. Epub 2016 Nov 29.
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Real-World Outcomes of Rivaroxaban Treatment in Patients with Both Nonvalvular Atrial Fibrillation and a History of Ischemic Stroke/Transient Ischemic Attack.利伐沙班治疗非瓣膜性心房颤动合并缺血性卒中和短暂性脑缺血发作史患者的真实世界结局。
Cerebrovasc Dis. 2019;48(1-2):53-60. doi: 10.1159/000502883. Epub 2019 Oct 2.

引用本文的文献

1
Outcomes and predictive value of the 2MACE score in patients with atrial fibrillation treated with rivaroxaban in a prospective, multicenter observational study: The EMIR study.在一项前瞻性、多中心观察研究中,使用利伐沙班治疗心房颤动患者的 2MACE 评分的结果和预测价值:EMIR 研究。
Cardiol J. 2022;29(4):601-609. doi: 10.5603/CJ.a2022.0044. Epub 2022 May 27.
2
Clinical profile and management of rivaroxaban in patients with atrial fibrillation in routine practice in Spain: data from six nationwide studies.西班牙常规实践中利伐沙班用于房颤患者的临床特征与管理:六项全国性研究的数据
Drugs Context. 2019 Oct 9;8:212606. doi: 10.7573/dic.212606. eCollection 2019.