Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants

Atrial fibrillation (AF) is the most common arrhythmia, ranging from 0.1% in patients <55 years to >9% in octogenarian patients. One important issue is represented by the 5-fold increased ischemic stroke risk in AF patients. Hence, the role of anticoagulation is central. Until a few ye...

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Main Authors: Alfredo Caturano, Raffaele Galiero, Pia Clara Pafundi
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/10/617
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author Alfredo Caturano
Raffaele Galiero
Pia Clara Pafundi
author_facet Alfredo Caturano
Raffaele Galiero
Pia Clara Pafundi
author_sort Alfredo Caturano
collection DOAJ
description Atrial fibrillation (AF) is the most common arrhythmia, ranging from 0.1% in patients <55 years to >9% in octogenarian patients. One important issue is represented by the 5-fold increased ischemic stroke risk in AF patients. Hence, the role of anticoagulation is central. Until a few years ago, vitamin K antagonists (VKAs) and low molecular weight heparin represented the only option to prevent thromboembolisms, though with risks. Novel oral anticoagulants (NOACs) have radically changed the management of AF patients, improving both life expectancy and life quality. This review aims to summarize the most recent literature on the use of VKAs and NOACs in AF, in light of the new findings.
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spelling doaj.art-5ba476ac7fde45bc8ecb60911605de7e2023-09-02T01:47:24ZengMDPI AGMedicina1010-660X2019-09-01551061710.3390/medicina55100617medicina55100617Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral AnticoagulantsAlfredo Caturano0Raffaele Galiero1Pia Clara Pafundi2Department of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia 2, IT-80138 Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia 2, IT-80138 Naples, ItalyDepartment of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia 2, IT-80138 Naples, ItalyAtrial fibrillation (AF) is the most common arrhythmia, ranging from 0.1% in patients <55 years to >9% in octogenarian patients. One important issue is represented by the 5-fold increased ischemic stroke risk in AF patients. Hence, the role of anticoagulation is central. Until a few years ago, vitamin K antagonists (VKAs) and low molecular weight heparin represented the only option to prevent thromboembolisms, though with risks. Novel oral anticoagulants (NOACs) have radically changed the management of AF patients, improving both life expectancy and life quality. This review aims to summarize the most recent literature on the use of VKAs and NOACs in AF, in light of the new findings.https://www.mdpi.com/1010-660X/55/10/617NOACsnon vitamin K oral anticoagulantsatrial fibrillationstrokeoral anticoagulation
spellingShingle Alfredo Caturano
Raffaele Galiero
Pia Clara Pafundi
Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
Medicina
NOACs
non vitamin K oral anticoagulants
atrial fibrillation
stroke
oral anticoagulation
title Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
title_full Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
title_fullStr Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
title_full_unstemmed Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
title_short Atrial Fibrillation and Stroke. A Review on the Use of Vitamin K Antagonists and Novel Oral Anticoagulants
title_sort atrial fibrillation and stroke a review on the use of vitamin k antagonists and novel oral anticoagulants
topic NOACs
non vitamin K oral anticoagulants
atrial fibrillation
stroke
oral anticoagulation
url https://www.mdpi.com/1010-660X/55/10/617
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