Does sex affect anticoagulant use for stroke prevention in nonvalvular atrial fibrillation?: The prospective global anticoagulant registry in the FIELD-Atrial Fibrillation
Por:
Lip G.Y.H., Rushton-Smith S.K., Goldhaber S.Z., Fitzmaurice D.A., Mantovani L.G., Goto S., Haas S., Bassand J.-P., Camm A.J., Ambrosio G., Janský P., Al Mahmeed W., Oh S., Van Eickels M., Raatikainen P., Steffel J., Oto A., Kayani G., Accetta G., Kakkar A.K., Hacke W., Misselwitz F., Turpie A.G., Verheugt F.W., Fox K.A., Gersh B.J., Luciardi H.L., Cools F., Corbalan R., Keltai M., Kakkar S., Panchenko E., Lim T.W., Jacobson B., Angchaisuksiri P., Parkhomenko A., Barretto A.C., Sánchez Díaz C.J., Atar D., Hu D., Agnelli G., Darius H., Gibbs H., Ten Cate H., Stepinska J., Le Heuzey J.Y., Nielsen J.D., Brodmann M., Rosenqvist M., Connolly S.J., Spyropoulos A., Eikelboom J., Viñolas X., Koretsune Y., Hu D.Y., Chen K.N., Zhao Y.S., Zhang H.Q., Chen J.Z., Cao S.P., Wang D.W., Yang Y.J., Li W.H., Yin Y.H., Tao G.Z., Yang P., Chen Y.M., He S.H., Wang Y., Fu G.S., Li X., Wu T.G., Cheng X.S., Yan X.W., Zhao R.P., Chen M.S., Xiong L.G., Chen P., Jiao Y., Guo Y., Xue L., Wang F.Z., Li H., Yang Z.M., Jadhav P., Durgaprasad R., Ravi Shankar A.G., Rajput R.K., Bhargava K., Sarma R., Srinivas A., Roy D., Nagamalesh U.M., Chopda M., Kishore R., Kulkarni G., Chandwani P., Pothiwala R.A., Padinhare Purayil M., Shah S., Chawla K., Kothiwale V.A., Raghuraman B., Vijayaraghavan G., Vijan V.M., Sawhney J., Bantwal G., Bisne V., Khan A., Gupta J.B., Kumar S., Jain D., Kanamori S., Yamamoto K., Kumagai K., Katsuda Y., Sadamatsu K., Toyota F., Mizuno Y., Misumi I., Noguchi H., Ando S., Suetsugu T., Minamoto M., Oda H., Shiraishi K., Adachi S., Chiba K., Norita H., Tsuruta M., Koyanagi T., Ando H., Higashi T., Okada K., Azakami S., Komaki S., Kumeda K., Murayama T., Matsumura J., Oba Y., Sonoda R., Minoda K., Haraguchi Y., Suefuji H., Miyagi H., Kato H., Nakamura T., Nandate H., Zaitsu R., Fujiura Y., Yoshimura A., Numata H., Ogawa J., Tatematsu H., Kamogawa Y., Murakami K., Wakasa Y., Yamasawa M., Maekawa H., Abe S., Kihara H., Tsunoda S., Saito K., Fudo T., Obunai K., Tachibana H., Oba I., Kuwahata T., Higa S., Gushiken M., Eto T., Yoshida H., Ikeda D., Ishizawa M., Nakatsuka M., Murata K., Ogurusu C., Shimoyama M., Akutsu M., Takamura I., Hoshino F., Yokota N., Iwao T., Tsuchida K., Takeuchi M., Hatori Y., Kitami Y., Nakamura Y., Oyama R., Ageta M., Go Y., Mishima K., Unoki T., Morii S., Shiga Y., Sumi H., Nagatomo T., Sanno K., Fujisawa K., Atsuchi Y., Nagoshi T., Seto T., Tabuchi T., Kameko M., Nii K., Oshiro K., Takezawa H., Nagano S., Miyamoto N., Iwaki M., Fujii M., Okawa M., Abe M., Saito T., Mito T., Nagao K., Minami J., Mita T., Sakuma I., Taguchi T., Marusaki S., Doi H., Tanaka M., Fujito T., Matsuta M., Kusumoto T., Kakinoki S., Ashida K., Yoshizawa N., Agata J., Arasaki O., Manita M., Ikemura M., Fukuoka S., Murakami H., Matsukawa S., Hata Y., Taniguchi T., Ko T., Kubo H., Imamaki M., Akiyama M., Inagaki M., Odakura H., Ueda T., Katsube Y., Nakata A., Watanabe H., Techigawara M., Igarashi M., Taga K., Kimura T., Tomimoto S., Shibuya M., Nakano M., Ito K., 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Roquette F., Reis G., Ramos Filho R.A., Lanna Figueiredo E., Vieira Botelho R., Munhoz da Fontoura Tavares C., Costantini Frack C.R., Abdalla Saad J., Finimundi H.C., Pisani C., Chemello D., Pereira Martins M., Broilo França C.C., Alban F., Aranha Rosito G.B., de Moura Xavier Moraes Junior J.B., Tumelero R.T., Nigro Maia L., Simões de Almeida R., do Carmo Borges N.C., Gomes Ferreira L.G., Eggers G., Bugueño Gutiérrez C., Arriagada G., Potthoff Cardenas S., Stockins Fernandez B.A., Conejeros C., Houzvic C., Marin Cuevas P., Montecinos H., Forero A., Lanas F., Larico Gómez M., Charme Vilches G., Rey C., Astudillo C., Aguilar J., Illescas Diaz J., Leal Cantú R., Ramos Zavala M.G., Cabrera Jardines R., Espinola Zavaleta N., Villarreal Umaña S., López Rosas E., Llamas Esperón G., Pozas G., Cardona Muñoz E., Matadamas Hernández N., Leyva Rendón A., García Hernández N., de los Ríos Ibarra M., Virgen Carrillo L., López Villezca D., Hernández Herrera C., López Prieto J.J., Gaona Rodríguez R., 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Mendelson R., Williams M., Miller S., Beach S., Sharma N., Alfieri A., Gutowski T., Haque I., Reddy R., Ahmed W., Delafontaine P., Diercks D., Theodoro D., Remmel K., Alberts M., Ison R., Noveck H., Duffy P., Pitta S., Nishijima D., Treasure C.
Publicada:
1 ene 2015
Resumen:
Background.Among patients with atrial fibrillation (AF), women are at higher risk of stroke than men. Using prospective cohort data from a large global population of patients with nonvalvular AF, we sought to identify any differences in the use of anticoagulants for stroke prevention in women and men. Methods and Results.This was a prospective multicenter observational registry with 858 randomly selected sites in 30 countries. A total of 17 184 patients with newly diagnosed (.6 weeks) nonvalvular AF and .1 additional investigatordefined stroke risk factor(s) were recruited (March 2010 to June 2013). The main outcome measure was the use of anticoagulants (Vitamin K antagonists, factor Xa inhibitors, and direct thrombin inhibitors) for stroke prevention at AF diagnosis. Of 17 184 patients enrolled, 43.8% were women. More women than men were at moderate-to-high risk of stroke (CHADS2 score .2: 65.1% versus 54.7%). Rates of anticoagulant use were not different overall (60.9% of men versus 60.8% of women) and in patients with a CHADS2 score .2 (adjusted odds ratio for women versus men, 1.00; 95% confidence interval, 0.92.1.09). In patients at low risk (CHA2DS2-VASc of 0 in men and 1 in women), 41.8% of men and 41.1% of women received an anticoagulant. In patients at high risk (CHA2DS2-VASc score .2), 35.4% of men and 38.4% of women did not receive an anticoagulant. Conclusions.These contemporary global data show that anticoagulant use for stroke prevention is no different in men and women with nonvalvular AF. Thromboprophylaxis was, however, suboptimal in substantial proportions of men and women, with underuse in those at moderate-to-high risk of stroke and overuse in those at low risk. © 2015 American Heart Association, Inc.
Filiaciones:
Lip G.Y.H.:
University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham, United Kingdom
Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
Rushton-Smith S.K.:
Thrombosis Research Institute, London, United Kingdom
Goldhaber S.Z.:
Department of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, United States
Fitzmaurice D.A.:
Department of Primary Care and General Practice, University of Birmingham, Birmingham, United Kingdom
Mantovani L.G.:
Department of Clinical Medicine and Surgery, Università degli Studi di Napoli Federico II, Naples, Italy
Goto S.:
Department of Medicine (Cardiology), Tokai University School of Medicine, Isehara, Kanagawa, Japan
Haas S.:
Haemostasis and Thrombosis Research Group, Institute for Experimental Oncology and Therapy Research, Technical University of Munich, Munich, Germany
Bassand J.-P.:
Department of Cardiology, Besançon University Hospital, Besançon, France
Camm A.J.:
Department of Clinical Sciences, St. George's University of London, London, United Kingdom
Ambrosio G.:
Division of Cardiology, University of Perugia School of Medicine, Perugia, Italy
Janský P.:
Department of Cardiovascular Surgery, Motol University Hospital, Prague, Czech Republic
Al Mahmeed W.:
Division of Adult Cardiology, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
Oh S.:
Department of Internal Medicine, Seoul National University Hospital, Jongno-gu, Seoul, South Korea
Van Eickels M.:
Global Medical Affairs, Bayer HealthCare Pharmaceuticals, Berlin, Germany
Raatikainen P.:
Heart Center Co, Tampere University Hospital, Tampere, Finland
Steffel J.:
Cardiac Arrhythmia Unit, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
Oto A.:
Department of Cardiology, Hacettepe University, Ankara, Turkey
Kayani G.:
Thrombosis Research Institute, London, United Kingdom
Accetta G.:
Thrombosis Research Institute, London, United Kingdom
Kakkar A.K.:
Thrombosis Research Institute, London, United Kingdom
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