Long-term PT-INR levels and the clinical events in the patients with non-valvular atrial fibrillation: A special reference to low-intensity warfarin therapy

Autor: Koichi Fuse, Akira Yamashina, Minoru Takahashi, Yoshio Ikeda, Masayuki Goto, Ken Takarada, Masaaki Okabe, Hitoshi Kitazawa, Atsushi Saito, Yoshifusa Aizawa, Ken Toba, Hirooki Matsushita, Hiroshi Abe, Satoru Fujita, Takeo Oguro, Masahito Sato
Rok vydání: 2014
Předmět:
Zdroj: Journal of Cardiology. 64(2):127-132
ISSN: 0914-5087
DOI: 10.1016/j.jjcc.2013.11.015
Popis: BackgroundAnticoagulation therapy is essential in atrial fibrillation (AF), and in Japan, less intense control is popular.PurposeTo assess the efficacy and safety with a special reference to low intensity warfarin therapy.Subjects and methodsIn 488 out of 508 patients with non-valvular AF, prothrombin time-international normalized ratio (PT-INR) was kept at 1.6–2.59, and they were followed for 49.5 months: 2098 person-years. The mean age was 73.7±9.9 years and 62% were male. The patients were divided by age: ≥70 years and 2.61 in 40.0% with major bleeding at the time of the events. Blunt trauma and concomitant use of antiplatelets were risks for intracranial hemorrhage in the patients ≥70 years.ConclusionsThe event rates were similar between the low- (1.6–1.99) and high- (2.0–2.59) intensity warfarin therapy groups in aged patients
Databáze: OpenAIRE