Document Detail


Antithrombotic therapy for heart failure in sinus rhythm.
MedLine Citation:
PMID:  19735305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the risk of thromboembolism in chronic heart failure is high even in the absence of atrial fibrillation, the risk to benefit ratio of anticoagulation vs. antiplatelet therapy or no antithrombotic therapy is poorly defined in this population. Post hoc analysis of large therapeutic heart failure trials has estimated the risk of thromboembolism to be between 1 and 4.5%. However, most of these studies have included some patients with atrial fibrillation, and thromboembolism was not a predefined endpoint. At present, the evidence for either anticoagulation or antiplatelet therapy is limited and the results from current large-scale randomized studies are awaited. From the randomized studies carried out thus far, there is a beneficial trend in favour of anticoagulation therapy, with less hospitalization for heart failure compared with patients taking aspirin.
Authors:
Veeran Subramaniam; Russell C Davis; Eduard Shantsila; Gregory Y H Lip
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-09-04
Journal Detail:
Title:  Fundamental & clinical pharmacology     Volume:  23     ISSN:  1472-8206     ISO Abbreviation:  Fundam Clin Pharmacol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-17     Completed Date:  2010-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710411     Medline TA:  Fundam Clin Pharmacol     Country:  England    
Other Details:
Languages:  eng     Pagination:  705-17     Citation Subset:  IM    
Affiliation:
Haemostasis Thrombosis and Vascular Biology Unit, University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, UK.
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / pharmacology,  therapeutic use*
Atrial Fibrillation / complications,  drug therapy
Chronic Disease
Fibrinolytic Agents / pharmacology,  therapeutic use*
Heart Failure / complications,  drug therapy*,  physiopathology
Humans
Platelet Aggregation Inhibitors / pharmacology,  therapeutic use*
Randomized Controlled Trials as Topic
Risk Factors
Sinoatrial Node / drug effects*,  physiopathology
Thromboembolism / etiology,  prevention & control
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrinolytic Agents; 0/Platelet Aggregation Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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