Clinical Outcome of Edoxaban vs. Vitamin K Antagonists in Patients with Atrial Fibrillation and Diabetes Mellitus: Results from a Multicenter, Propensity-Matched, Real-World Cohort Study.

atrial fibrillation bleeding risk diabetes mellitus direct oral anticoagulants edoxaban stroke prevention

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
27 May 2020
Historique:
received: 24 04 2020
revised: 20 05 2020
accepted: 22 05 2020
entrez: 31 5 2020
pubmed: 31 5 2020
medline: 31 5 2020
Statut: epublish

Résumé

Diabetes mellitus (DM) is a chronic metabolic disease which is independently associated with unfavorable clinical outcomes in patients with atrial fibrillation (AF). Few real-world data are available about the clinical performance of non-vitamin K oral anticoagulants (NOACs) among patients with atrial fibrillation and diabetes. The aim of our propensity score-matched cohort study was to compare the safety and effectiveness of Edoxaban versus well-controlled vitamin K antagonists (VKAs) therapy among this population. In this study, we considered patients with AF and diabetes on Edoxaban or VKAs therapy included in the multicenter Atrial Fibrillation Research Database (NCT03760874). The occurrence of major bleedings (MB) and thromboembolic events (a composite of ischemic stroke, transient ischemic attack, systemic embolism) was respectively considered primary safety and effectiveness outcome. We identified 557 AF patients with diabetes who received Edoxaban (

Identifiants

pubmed: 32471222
pii: jcm9061621
doi: 10.3390/jcm9061621
pmc: PMC7356851
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Vincenzo Russo (V)

Chair of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.

Emilio Attena (E)

Cardiology Unit, San Giuliano Hospital, 80014 Naples, Italy.

Anna Rago (A)

Department of Cardiology, Monaldi Hospital, 80131 Naples, Italy.

Enrico Melillo (E)

Chair of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.

Pierpaolo Di Micco (P)

Fatebenefratelli Hospital, 80123 Naples, Italy.

Andrea Antonio Papa (AA)

Department of Cardiology, Monaldi Hospital, 80131 Naples, Italy.

Giovanni Napolitano (G)

Cardiology Unit, San Giuliano Hospital, 80014 Naples, Italy.

Antonio D'Onofrio (A)

Department of Cardiology, Monaldi Hospital, 80131 Naples, Italy.

Paolo Golino (P)

Chair of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.

Gerardo Nigro (G)

Chair of Cardiology, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, 80131 Naples, Italy.

Classifications MeSH