Relative Risk of Events by CHA2DS2-VASc Score

Slides:



Advertisements
Similar presentations
Insights of the RE-LY CHA2DS2-VASc subgroup analysis Hisao Ogawa Kumamoto University, Japan 1 1.
Advertisements

Georges Ghanem MD, FESC, FACC Associate Professor, Chief of Cardiology UMC-RH/LAU-SOM Beirut, Lebanon.
Concomitant Antiplatelet and OAC Tx: Real-World Practice In the US, ~800,000 AF patients are on concomitant OAC and antiplatelet tx 1 Patients on chronic.
1 Novel Oral Anticoagulants: Benefits and risks Matthew Moles, MD December 4, 2012 University of Colorado.
Update on Anti-platelets Gabriel A. Vidal, MD Vascular Neurology Ochsner Medical Center October 14 th, 2009.
Leadership. Knowledge. Community. Canadian Cardiovascular Society Antiplatelet Guidelines COMBINATION WARFARIN + ASA THERAPY WHEN: TO USE, TO CONSIDER,
Efficacy and Safety of Dabigatran vs. Warfarin in Patients with Atrial Fibrillation - Japanese population in the RE-LY ® - Shinya Goto, MD., PhD. Tokai.
ARISTOTLE TRIAL Dr R Nyabadza GPST1 Ward 32. Structure AF, stroke and CHA 2 -DS 2 VASC Anticoagulant choices ARISTOTLE trial Cost NICE guidance and the.
ARISTOTLE TTR Subanalysis
Study by: Granger et al. NEJM, September 2011,Vol No. 11 Presented by: Amelia Crawford PA-S2 Apixaban versus Warfarin in Patients with Atrial Fibrillation.
AF and NOACs An UPDATE JULY 2014
Jim Hoehns, Pharm.D.. Edoxaban Oral factor Xa inhibitor Bioavailability: 62% Tmax: 1-2 hrs Elimination: 50% renal Half-life: 9-11 hours.
Randomized Evaluation of Long- term anticoagulant therapY Dabigatran Compared to Warfarin in 18,113 Patients with Atrial Fibrillation at Risk of Stroke.
Atrial Fibrillation Warfarin and its newer alternatives
ROCKET AF Renal Dysfunction Substudy Objective Evaluate the 2950 patients in the per-protocol cohort with a baseline CrCl of 30 to 49 mL/min who received.
  Warfarin Dabigatran Rivaroxaban Apixaban Edoxaban Target
The Long Term Multi-Center Extension of Dabigatran Treatment in Patients with Atrial Fibrillation (RELY-ABLE) study To reviewers and moderators: These.
ACTIVE Clopidogrel plus Aspirin versus Aspirin in Patients Unsuitable for Warfarin.
Stroke Prevention Using the Oral Direct Thrombin Inhibitor Ximelagatran in Patients With Nonvalvular Atrial Fibrillation SPORTIF V Trial Presented at American.
Update in ESC: Dabigatran among OAC
Presented by Renato D. Lopes, MD, PhD, Duke Clinical Research Institute, Duke University, USA for the ARISTOTLE investigators. Efficacy and Safety of Apixaban.
Net clinical benefit of OAC
Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation NEJM Aug 27, 2015.
The Efficacy of Dabigatran versus Warfarin for Stroke Prevention in Patients With Atrial Fibrillation: Systematic Review Karim Bouferrache Pacific University.
Postulated Association Between AF and Stroke
Stroke, Bleeding, and Mortality Risks in Elderly Medicare Beneficiaries Treated with Dabigatran or Rivaroxaban for Nonvalvular Atrial Fibrillation.
Identifying patients with atrial fibrillation and "truly low" thromboembolic risk who are poorly characterized by CHA2DS2-VASc: Superior performance of.
Direct Comparison of Dabigatran, Rivaroxaban, and Apixaban for Effectiveness and Safety in Non-valvular Atrial Fibrillation.
Update on the Watchman Device CRT 2010 Washington, DC
Harvard Medical School C. Michael Gibson, M.S., M.D.
You can never be too Thin…. An Update on NOACs
David R. Holmes, Jr., M.D. Mayo Clinic, Rochester
Efficacy and Safety of Dabigatran vs
SOCRATES Trial design: Patients with acute ischemic stroke were randomized in a 1:1 fashion to receive either ticagrelor 180 mg load + 90 mg BID or aspirin.
Volume 28, Issue 6, Pages (December 2012)
Anticoagulation in Atrial Fibrillation
Management of AF­related stroke
CHA2DS2-VASc Scoring System General AF Treatment Guidance.
Anticoagulant Safety Remains a Problem Emergency Hospitalizations for Adverse Drug Events.
RE-CIRCUIT Trial design: Patients with atrial fibrillation undergoing catheter ablation were randomized to uninterrupted dabigatran 150 mg twice daily.
Randomized Evaluation of Long-term anticoagulant therapY
US Guidelines US Guidelines Low-risk Patients.
ACTIVE A Effects of Addition of Clopidogrel to Aspirin in Patients with Atrial Fibrillation who are Unsuitable for Vitamin K Antagonists.
When Is Adding Aspirin to NOACs Worth the Risk?
A New Era for NOACs:.
Educational Event 23rd & 24th January 2013
Up to Date on Which NOAC for Which Patient
Selecting NOACs for High-Risk Patients
Revealing Characteristics of Patients at High Risk for Developing Atrial Fibrillation.
Assessing the Risk for Stroke in Patients With Atrial Fibrillation
Dabigatran vs Warfarin in Patients with Atrial Fibrillation – Results
What Anticoagulant Registries Are Revealing
Net Clinical Benefit of Non-vitamin K Antagonist Oral Anticoagulants Versus Warfarin in Phase III Atrial Fibrillation Trials  Giulia Renda, MD, PhD, Marta.
A Better Solution For Cancer Patients With VTE?
Oral Anticoagulation in AF
Relative risk of major events with atenolol vs placebo
Atrial Fibrillation.
Identifying High-Risk AF Patients
Improving Outcomes in AF: Do the NOACs Hold Their Promise In The Real World?
RE-MODEL and RE-NOVATE : Total VTE and All-cause Mortality
Ezetimibe/simvastatin
Which NOAC and When for Stroke Prevention in AF?
Mancini JG, et al. Am J Cardiol.
5 Good Minutes on Atrial Fibrillation-related Stroke
Canadian Cardiovascular Society Atrial Fibrillation Guidelines 2010: Prevention of Stroke and Systemic Thromboembolism in Atrial Fibrillation and Flutter 
Outcomes Number of events† Total person-years† aHR‡ (95%CI)
Outcomes Number of events† Total person-years† aHR‡ (95%CI)
Section C: Clinical trial update: Oral antiplatelet therapy
Presenter Disclosure Information
The CHA(2)DS2-(VASc) stroke risk and HAS-BLED bleeding risk index are calculated by totalling the scores for each risk factor present.68–71 The lower graph.
Presentation transcript:

Relative Risk of Events by CHA2DS2-VASc Score Dabigatran 110mg Dabigatran 150mg Warfarin vs. Warfarin Annual rate RR [95% CI] Primary Outcome: Stroke/System Embolism P=0.81* P=0.60* CHA2DS2-VASc = 0–2 0.9% 0.5% 0.8% 1.08 [0.6–1.95] 0.63 [0.32–1.23] CHA2DS2-VASc = 3 1.3% 1.4% 0.99 [0.67–1.48] 0.61 [0.38–0.96] CHA2DS2-VASc = 4 1.6% 1% 2% 0.81 [0.55–1.20] 0.54 [0.34–0.82] CHA2DS2-VASc = 5–9 2.4% 2.1% 2.8% 0.85 [0.62–1.19] 0.77 [0.55–1.07] Major Bleed P=0.06* P=0.003* 1.8% 0.55 [0.37–0.83] 0.75 [0.52–1.08] 2.5% 2.6% 3.5% 0.70 [0.54–0.92] 0.74 [0.56–0.97] 3.3% 3.2% 3.9% 0.86 [0.65–1.13] 0.83 [0.63–1.09] 4.4% 5.8% 1.00 [0.77-1.28] 1.33 [1.06–1.69] Net Clinical Benefit P=0.24* P=0.006* 4.2% 5.2% 0.80 [0.62–1.02] 0.81 [0.63–1.03] 6.3% 5.6% 7.2% 0.88 [0.73–1.05] 0.77 [0.64–0.93] 9% 7.1% 8.5% 1.06 [0.89–1.26] 0.83 [0.69–1.00] 10% 11.9% 10.8% 0.92 [0.78–1.08] 1.11 [0.95–1.30] *P value for interaction