Document Detail


Current status of anticoagulation therapy for elderly atrial fibrillation patients in Japan: from Hokuriku atrial fibrillation trial.
MedLine Citation:
PMID:  18854614     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The number of the elderly patients with atrial fibrillation (AF) is increasing, but the current status of anticoagulation therapy for elderly patients with AF in Japan is not clear. METHODS AND RESULTS: Among the patients registered in the "Hokuriku Atrial Fibrillation Trial (HAT) 1", 365 AF patients aged > or =65 years were enrolled in this study. Warfarin was used for significantly less patients in the oldest group aged > or =85 years (36%) than in younger populations, but the percentage of antiplatelet use in this oldest population was largest (40%). The elderly group (> or =85 years) was compared with a younger group aged between 75 and 84 years. Warfarin was given to 61% of the younger group compared with 36% in the elderly group. In the younger group, the more thromboembolic risks they had according to CHADS2 score, the more warfarin was used, whereas there was no clear trend in the usage of warfarin in the elderly group. CONCLUSIONS: The number of elderly Japanese patients with AF taking warfarin is currently low, but because the population of elderly AF patients will increase in the future, there is a need for safe and suitable anticoagulation therapy for elderly patients.
Authors:
Hiroshi Furusho; Masayuki Takamura; Shigeo Takata; Satoru Sakagami; Motoaki Hirazawa; Takeshi Kato; Hisayoshi Murai; Masaki Okajima; Shuichi Kaneko
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Multicenter Study     Date:  2008-10-14
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  72     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  2058-61     Citation Subset:  IM    
Affiliation:
Department of Disease Control and Homeostasis, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan. hfurusho@m-kanazawa.jp
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Age Factors
Aged
Aged, 80 and over
Anticoagulants / adverse effects,  therapeutic use*
Atrial Fibrillation / complications,  drug therapy*
Female
Fibrinolytic Agents / adverse effects,  therapeutic use*
Hemorrhage / chemically induced
Humans
Japan
Male
Physician's Practice Patterns* / statistics & numerical data
Platelet Aggregation Inhibitors / adverse effects,  therapeutic use*
Registries
Risk Assessment
Thromboembolism / etiology,  prevention & control*
Warfarin / adverse effects,  therapeutic use*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrinolytic Agents; 0/Platelet Aggregation Inhibitors; 81-81-2/Warfarin

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


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