Risk of gastrointestinal bleeding in Asian patients receiving oral anticoagulants for stroke prevention in atrial fibrillation

被引:0
作者
Diaz, Alejandro Bimbo [1 ]
Chow, Jeremy [2 ]
Hoo, Fan Kee [3 ]
Keong, Gary Lee Chin [4 ]
Venketasubramanian, Narayanaswamy [5 ]
Rey, Nannette [6 ]
Rogelio, Gregorio [7 ]
Mehta, Radhika [8 ]
机构
[1] Univ Santo Tomas Hosp, Manila, Philippines
[2] Asian Heart & Vasc Ctr, Singapore, Singapore
[3] Univ Putra Malaysia, Serdang, Malaysia
[4] Thomson Hosp Kota Damansara, Petaling Jaya, Malaysia
[5] Raffles Hosp, Singapore, Singapore
[6] De La Salle Med & Hlth Sci Inst, Dasmarinas Cavite, Philippines
[7] St Lukes Med Ctr, Quezon City, Philippines
[8] Menarini Asia Pacific Pte Ltd, Singapore, Singapore
关键词
Asian patients; atrial fibrillation; edoxaban; gastrointestinal bleeding; non-vitamin K oral anticoagulant; Southeast Asia; stroke; WARFARIN; EDOXABAN; DABIGATRAN; OUTCOMES; METAANALYSIS;
D O I
10.7573/dic.2024-5-5
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Non-vitamin K antagonist oral anticoagulants (NOACs) are increasingly used for stroke prevention in atrial fibrillation. At the Asia Pacific Advancing Patient care with EdoXaban 2023 meeting, experts shared insights on gastrointestinal bleeding with NOACs for stroke prevention in atrial fibrillation in Asian clinical practice, where NOACs have gained widespread acceptance due to their favourable profiles. Gastrointestinal bleeding risk varies amongst NOACs, emphasizing the importance of diligent patient assessment, dosage selection and vigilant monitoring. Edoxaban emerged as a viable option with a low gastrointestinal bleeding risk profile in Asian compared with non-Asian patients, supporting its continued clinical utilization for appropriate patients.
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页数:15
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共 33 条
  • [1] Gastrointestinal Bleeding With Edoxaban Versus Warfarin: Results From the ENGAGE AF-TIMI 48 Trial (Effective Anticoagulation With Factor Xa Next Generation in Atrial Fibrillation-Thrombolysis In Myocardial Infarction)
    Aisenberg, James
    Chatterjee-Murphy, Prapti
    Flack, Kathryn Friedman
    Weitz, Jeffrey I.
    Ruff, Christian T.
    Nordio, Francesco
    Mercuri, Michele F.
    Choi, Youngsook
    Antman, Elliott M.
    Braunwald, Eugene
    Giugliano, Robert P.
    [J]. CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2018, 11 (05): : e003998
  • [2] Direct Oral Anticoagulants Versus Warfarin in Patients With Atrial Fibrillation: Patient-Level Network Meta-Analyses of Randomized Clinical Trials With Interaction Testing by Age and Sex
    Carnicelli, Anthony P.
    Hong, Hwanhee
    Connolly, Stuart J.
    Eikelboom, John
    Giugliano, Robert P.
    Morrow, David A.
    Patel, Manesh R.
    Wallentin, Lars
    Alexander, John H.
    Cecilia Bahit, M.
    Benz, Alexander P.
    Bohula, Erin A.
    Chao, Tze-Fan
    Dyal, Leanne
    Ezekowitz, Michael
    A.a. Fox, Keith
    Gencer, Baris
    Halperin, Jonathan L.
    Hijazi, Ziad
    Hohnloser, Stefan H.
    Hua, Kaiyuan
    Hylek, Elaine
    Toda Kato, Eri
    Kuder, Julia
    Lopes, Renato D.
    Mahaffey, Kenneth W.
    Oldgren, Jonas
    Piccini, Jonathan P.
    Ruff, Christian T.
    Steffel, Jan
    Wojdyla, Daniel
    Granger, Christopher B.
    [J]. CIRCULATION, 2022, 145 (04) : 242 - 255
  • [3] Effectiveness and Safety of Four Direct Oral Anticoagulants in Asian Patients With Nonvalvular Atrial Fibrillation
    Chan, Yi-Hsin
    Lee, Hsin-Fu
    See, Lai-Chu
    Tu, Hui-Tzu
    Chao, Tze-Fan
    Yeh, Yung-Hsin
    Wu, Lung-Sheng
    Kuo, Chi-Tai
    Chang, Shang-Hung
    Lip, Gregory Y. H.
    [J]. CHEST, 2019, 156 (03) : 529 - 543
  • [4] Risks and outcomes of gastrointestinal malignancies in anticoagulated atrial fibrillation patients experiencing gastrointestinal bleeding: A nationwide cohort study
    Chang, Ting-Yung
    Chan, Yi-Hsin
    Chiang, Chern-En
    Lin, Yenn-Jiang
    Chang, Shih-Lin
    Lo, Li-Wei
    Hu, Yu-Feng
    Tuan, Ta-Chuan
    Liao, Jo-Nan
    Chung, Fa-Po
    Chen, Tzeng-Ji
    Lip, Gregory Y. H.
    Chen, Shih-Ann
    Chao, Tze-Fan
    [J]. HEART RHYTHM, 2020, 17 (10) : 1745 - 1751
  • [5] Prescribing Patterns and Outcomes of Edoxaban in Atrial Fibrillation: One-Year Data from the Global ETNA-AF Program
    Chao, Tze-Fan
    Unverdorben, Martin
    Kirchhof, Paulus
    Koretsune, Yukihiro
    Yamashita, Takeshi
    Crozier, Robert A.
    Pecen, Ladislav
    Chen, Cathy
    Borrow, Amanda P.
    De Caterina, Raffaele
    [J]. JOURNAL OF CLINICAL MEDICINE, 2023, 12 (05)
  • [6] 2021 Focused update of the 2017 consensus guidelines of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation
    Chao, Tze-Fan
    Joung, Boyoung
    Takahashi, Yoshihide
    Lim, Toon Wei
    Choi, Eue-Keun
    Chan, Yi-Hsin
    Guo, Yutao
    Sriratanasathavorn, Charn
    Oh, Seil
    Okumura, Ken
    Lip, Gregory Y. H.
    [J]. JOURNAL OF ARRHYTHMIA, 2021, 37 (06) : 1389 - 1426
  • [7] Factors associated with the dosing of edoxaban for stroke prevention in patients with atrial fibrillation from South Korea and Taiwan: 1-year data from the Global ETNA-AF Program
    Chao, Tze-Fan
    Hong, Keun-Sik
    Lee, Byung-Chul
    De Caterina, Raffaele
    Kirchhof, Paulus
    Reimitz, Paul-Egbert
    Chen, Cathy
    Unverdorben, Martin
    Wang, Chun-Chieh
    [J]. JOURNAL OF THE CHINESE MEDICAL ASSOCIATION, 2021, 84 (05) : 485 - 490
  • [8] Clinical outcomes, edoxaban concentration, and anti-factor Xa activity of Asian patients with atrial fibrillation compared with non-Asians in the ENGAGE AF-TIMI 48 trial
    Chao, Tze-Fan
    Chen, Shih-Ann
    Ruff, Christian T.
    Hamershock, Rose A.
    Mercuri, Michele F.
    Antman, Elliott M.
    Braunwald, Eugene
    Giugliano, Robert P.
    [J]. EUROPEAN HEART JOURNAL, 2019, 40 (19) : 1518 - +
  • [9] Evolving Changes of the Use of Oral Anticoagulants and Outcomes in Patients With Newly Diagnosed Atrial Fibrillation in Taiwan
    Chao, Tze-Fan
    Chiang, Chern-En
    Lin, Yenn-Jiang
    Chang, Shih-Lin
    Lo, Li-Wei
    Hu, Yu-Feng
    Tuan, Ta-Chuan
    Liao, Jo-Nan
    Chung, Fa-Po
    Chen, Tzeng-Ji
    Lip, Gregory Y. H.
    Chen, Shih-Ann
    [J]. CIRCULATION, 2018, 138 (14) : 1485 - 1487
  • [10] Non-Vitamin K Antagonist Oral Anticoagulants in Elderly (≥85 years) Patients With Newly Diagnosed Atrial Fibrillation: Changing Clinical Practice and Outcomes for Stroke Prevention in a Nationwide Cohort Study
    Cheng, Wen-Han
    Chiang, Chern-En
    Lin, Yenn-Jiang
    Chang, Shih-Lin
    Lo, Li-Wei
    Hu, Yu-Feng
    Tuan, Ta-Chuan
    Liao, Jo-Nan
    Chung, Fa-Po
    Chen, Tzeng-Ji
    Lip, Gregory Y. H.
    Chen, Shih-Ann
    Chao, Tze-Fan
    [J]. MAYO CLINIC PROCEEDINGS, 2021, 96 (01) : 52 - 65