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Publication year
2018Source
Vascular Pharmacology, 106, (2018), pp. 9-21ISSN
Publication type
Article / Letter to editor
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Organization
Cardiology
Journal title
Vascular Pharmacology
Volume
vol. 106
Page start
p. 9
Page end
p. 21
Subject
Radboudumc 16: Vascular damage RIHS: Radboud Institute for Health Sciences; Cardiology - Radboud University Medical CenterAbstract
Atrial fibrillation (AF) and venous thromboembolism (VTE) are cardiovascular conditions significant in contemporary practice. In both, the use of anticoagulation with vitamin K antagonists (VKAs) has been traditionally used to prevent adverse events. However, VKA therapy is associated with challenges relating to dose maintenance, the need to monitor anticoagulation, and bleeding risks. The non-vitamin K oral anticoagulants (NOACs) are becoming accepted as a clear alternative to VKA therapy for both AF and VTE management. The aim of this paper was to review contemporary evidence on the safety of NOACs in both conditions. A comprehensive literature review was conducted to explore key safety issues and expert consensus was achieved from eight professionals specialised in AF and VTE care. Consensus-based statements were formulated where available evidence was weak or contradictory. The expert statements in this paper form a key overview of the safety of NOACs compared with VKA therapy, and the comparative safety of different NOACs. It is apparent that a detailed patient work-up is required in order to identify and manage individual risk factors for bleeding and thrombosis prior to NOAC therapy. Additional measures, such as dose reductions, may also be used to maintain the safety of NOACs in practice.
This item appears in the following Collection(s)
- Academic publications [244262]
- Electronic publications [131246]
- Faculty of Medical Sciences [92892]
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