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November 12, 2023Circulation240 citations

Direct Oral Anticoagulants for Stroke Prevention in Patients With Device-Detected Atrial Fibrillation: A Study-Level Meta-Analysis of the NOAH-AFNET 6 and ARTESiA Trials

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WMWilliam F. McIntyreABAlexander P. BenzNBNina Becher

Structured PICO

Does oral anticoagulation with edoxaban or apixaban reduce the risk of stroke in patients with device-detected atrial fibrillation?

P
Population
Patients with device-detected atrial fibrillation (meta-analysis of 2 large randomized trials: NOAH-AFNET 6 and ARTESiA)
I
Intervention
Oral anticoagulation with direct oral anticoagulants (edoxaban or apixaban)
O
Outcome
Strokehard clinical

In patients with device-detected atrial fibrillation, oral anticoagulation with edoxaban or apixaban effectively reduces stroke risk at the cost of increased major bleeding.

Abstract

The results of the NOAH-AFNET 6 and ARTESiA trials are consistent with each other. Meta-analysis of these 2 large randomized trials provides high-quality evidence that oral anticoagulation with edoxaban or apixaban reduces the risk of stroke in patients with device-detected atrial fibrillation and increases the risk of major bleeding.

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Cite This Study

McIntyre et al. (2023) studied this question.

synapsesocial.com/papers/69d570ea75589c71d767e01dhttps://doi.org/10.1161/circulationaha.123.067512
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