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Use of Oral Anticoagulation in the Management of Atrial Fibrillation in Patients with ESRD: Verdict 2

Charles A. Herzog
CJASN November 2016, 11 (11) 2095-2096; DOI: https://doi.org/10.2215/CJN.09470916
Charles A. Herzog
Division of Cardiology, Department of Medicine, Hennepin County Medical Center and University of Minnesota, Minneapolis, Minnesota; and Division of Chronic Disease Research Group, Minneapolis Medical Research Foundation, Minneapolis, Minnesota
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    Figure 1.

    Relative risk reductions in stroke or systemic embolism and major hemorrhage by novel oral anticoagulants versus warfarin in patients with moderate CKD. Patients with CKD had estimated creatinine clearances of 30–49 ml/min, except for those treated with apixaban (25–50 ml/min). Risk reductions were statistically significant for dabigatran (150 mg) on stroke and apixaban on major hemorrhage. Reprinted from reference 6, with permission.

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    Figure 2.

    Hazard ratios (HRs) for subgroups of patients with CKD stage 3 from two randomized trials comparing anticoagulation with aspirin. For warfarin comparison from the SPAF III Study, the outcome was ischemic stroke and systemic embolism, and the aspirin group additionally received low ineffective doses of warfarin. For apixaban, the outcome was stroke and systemic embolism. 95% CI, 95% confidence interval; INR, international normalized ratio SPAF III, Stroke Prevention in Atrial Fibrillation. Reprinted from reference 6, with permission.

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Clinical Journal of the American Society of Nephrology: 11 (11)
Clinical Journal of the American Society of Nephrology
Vol. 11, Issue 11
November 07, 2016
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Use of Oral Anticoagulation in the Management of Atrial Fibrillation in Patients with ESRD: Verdict 2
Charles A. Herzog
CJASN Nov 2016, 11 (11) 2095-2096; DOI: 10.2215/CJN.09470916

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Use of Oral Anticoagulation in the Management of Atrial Fibrillation in Patients with ESRD: Verdict 2
Charles A. Herzog
CJASN Nov 2016, 11 (11) 2095-2096; DOI: 10.2215/CJN.09470916
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  • Use of Oral Anticoagulation in the Management of Atrial Fibrillation in Patients with ESRD: Verdict 3
  • Use of Oral Anticoagulation for Patients with ESRD on Hemodialysis with Atrial Fibrillation: Verdict 1
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Cited By...

  • Design and rationale of a randomised controlled trial comparing apixaban to phenprocoumon in patients with atrial fibrillation on chronic haemodialysis: the AXADIA-AFNET 8 study
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Keywords

  • atrial fibrillation
  • end-stage renal disease
  • Anticoagulants
  • blood coagulation
  • Disease Management
  • Humans
  • Kidney Failure, Chronic

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