Ezaldin Shady, Abdelsalam Mahmoud, Annie Frank, Chumbe Julton Tomanguillo, Gharib Elie
Cardiovascular Department, Charleston Area Medical Center, Charleston, WV, USA.
Heliyon. 2025 Jan 3;11(1):e41596. doi: 10.1016/j.heliyon.2024.e41596. eCollection 2025 Jan 15.
•DOACs are effective and safe in very morbidly obese AF patients (BMI ≥50 kg/m).•DOACs show similar stroke and bleeding risks as warfarin in this population.•Findings support DOACs in anticoagulation guidelines for very morbidly obese patients.
•直接口服抗凝剂(DOACs)在极度肥胖的房颤患者(体重指数≥50kg/m²)中有效且安全。
•在这一人群中,DOACs与华法林的中风和出血风险相似。
•研究结果支持在针对极度肥胖患者的抗凝指南中使用DOACs。