Non-valvular atrial fibrillation: impact of apixaban on patient outcomes

Adam Ioannou,1 Irene Tsappa,2 Sofia Metaxa,3 Constantinos G Missouris2,3 1Cardiology Department, Royal Free NHS Foundation Trust, London, UK; 2Cardiology Department, Medical School, University of Cyprus, Nicosia, Cyprus; 3Cardiology Department, Frimley Health NHS Foundation Trust, London, UK Abstrac...

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Main Authors: Ioannou A, Tsappa I, Metaxa S, Missouris CG
Format: Article
Language:English
Published: Dove Medical Press 2017-11-01
Series:Patient Related Outcome Measures
Subjects:
Online Access:https://www.dovepress.com/non-valvular-atrial-fibrillation-impact-of-apixaban-on-patient-outcome-peer-reviewed-article-PROM
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author Ioannou A
Tsappa I
Metaxa S
Missouris CG
author_facet Ioannou A
Tsappa I
Metaxa S
Missouris CG
author_sort Ioannou A
collection DOAJ
description Adam Ioannou,1 Irene Tsappa,2 Sofia Metaxa,3 Constantinos G Missouris2,3 1Cardiology Department, Royal Free NHS Foundation Trust, London, UK; 2Cardiology Department, Medical School, University of Cyprus, Nicosia, Cyprus; 3Cardiology Department, Frimley Health NHS Foundation Trust, London, UK Abstract: Atrial fibrillation is the most common arrhythmia worldwide, and carries a significantly increased risk of thromboembolic stroke. Initially, vitamin K antagonists were used as stroke prophylaxis; but more recently, a group of drugs known as novel oral anticoagulants have been developed. Apixaban belongs to this group of drugs, and is a factor Xa inhibitor that has emerged as a popular pharmacological agent worldwide. In this review, we will provide an overview of the pivotal trials in the development of apixaban, while also critically evaluating the new emerging real-world data, and discussing the effectiveness, safety, economic viability and future prospects of apixaban and how it impacts on patient outcomes in those with non-valvular atrial fibrillation. Keywords: apixaban, atrial fibrillation, warfarin, stroke, bleeding
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spelling doaj.art-05bfe60456d64b0e81f56ba29dc818be2022-12-22T02:26:43ZengDove Medical PressPatient Related Outcome Measures1179-271X2017-11-01Volume 812113135442Non-valvular atrial fibrillation: impact of apixaban on patient outcomesIoannou ATsappa IMetaxa SMissouris CGAdam Ioannou,1 Irene Tsappa,2 Sofia Metaxa,3 Constantinos G Missouris2,3 1Cardiology Department, Royal Free NHS Foundation Trust, London, UK; 2Cardiology Department, Medical School, University of Cyprus, Nicosia, Cyprus; 3Cardiology Department, Frimley Health NHS Foundation Trust, London, UK Abstract: Atrial fibrillation is the most common arrhythmia worldwide, and carries a significantly increased risk of thromboembolic stroke. Initially, vitamin K antagonists were used as stroke prophylaxis; but more recently, a group of drugs known as novel oral anticoagulants have been developed. Apixaban belongs to this group of drugs, and is a factor Xa inhibitor that has emerged as a popular pharmacological agent worldwide. In this review, we will provide an overview of the pivotal trials in the development of apixaban, while also critically evaluating the new emerging real-world data, and discussing the effectiveness, safety, economic viability and future prospects of apixaban and how it impacts on patient outcomes in those with non-valvular atrial fibrillation. Keywords: apixaban, atrial fibrillation, warfarin, stroke, bleedinghttps://www.dovepress.com/non-valvular-atrial-fibrillation-impact-of-apixaban-on-patient-outcome-peer-reviewed-article-PROMApixabanAtrial FibrillationWarfarinStroke
spellingShingle Ioannou A
Tsappa I
Metaxa S
Missouris CG
Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
Patient Related Outcome Measures
Apixaban
Atrial Fibrillation
Warfarin
Stroke
title Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
title_full Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
title_fullStr Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
title_full_unstemmed Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
title_short Non-valvular atrial fibrillation: impact of apixaban on patient outcomes
title_sort non valvular atrial fibrillation impact of apixaban on patient outcomes
topic Apixaban
Atrial Fibrillation
Warfarin
Stroke
url https://www.dovepress.com/non-valvular-atrial-fibrillation-impact-of-apixaban-on-patient-outcome-peer-reviewed-article-PROM
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AT metaxas nonvalvularatrialfibrillationimpactofapixabanonpatientoutcomes
AT missouriscg nonvalvularatrialfibrillationimpactofapixabanonpatientoutcomes