Does an antithrombotic regimen including apixaban without aspirin reduce bleeding and hospitalizations in patients with atrial fibrillation and a recent acute coronary syndrome or PCI treated with a P2Y12 inhibitor?
Patients with atrial fibrillation and a recent acute coronary syndrome or PCI treated with a P2Y12 inhibitor
Antithrombotic regimen that included apixaban, without aspirin
Regimens that included a vitamin K antagonist, aspirin, or both
Bleeding and hospitalizationssafety
In patients with atrial fibrillation and recent ACS or PCI, an apixaban-based regimen without aspirin reduces bleeding and hospitalizations compared to VKA and/or aspirin without increasing ischemic risk.
In patients with atrial fibrillation and a recent acute coronary syndrome or PCI treated with a P2Y12 inhibitor, an antithrombotic regimen that included apixaban, without aspirin, resulted in less bleeding and fewer hospitalizations without significant differences in the incidence of ischemic events than regimens that included a vitamin K antagonist, aspirin, or both. (Funded by Bristol-Myers Squibb and Pfizer; AUGUSTUS ClinicalTrials.gov number, NCT02415400.).
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Lópes et al. (Sun,) studied this question.
www.synapsesocial.com/papers/69cdb9260f58ee388d46c479 — DOI: https://doi.org/10.1056/nejmoa1817083
Renato D. Lópes
Gretchen Heizer
Ronald Aronson
New England Journal of Medicine
University of Toronto
Duke University
KU Leuven
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