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Cardiovascular and major bleeding outcomes with antiplatelet and direct oral anticoagulants in patients with acute coronary syndrome and atrial fibrillation: A population-based analysis

American Heart Journal Aug 28, 2021

Dawwas GK, Barnes GD, Dietrich E, et al. - Direct oral anticoagulants (DOACs) are identified to have a potential promising role in patients with ACS and atrial fibrillation (AF) requiring combined antiplatelet therapy.

  • From the United States-based commercial healthcare database, researchers included a total of 2,472 persons who initiated the combined therapy within 30 days following incident ACS diagnosis.

  • These patients comprised 1,236 users of antiplatelet-DOAC and 1,236 users of antiplatelet-warfarin.

  • Outcomes suggest correlation of using antiplatelet-DOAC following ACS diagnosis with a lower rate of recurrent CVD and major bleeding events when compared with using antiplatelet-warfarin.

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