Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
A clinical decision rule can help clinicians choose which female patients can safely discontinue anticoagulants by identifying those at low-risk of VTE recurrence. The REVERSE II trial, presented yesterday, showed that the HERDOO2 rule can be applied to women after a first unprovoked VTE, making it the only validated rule to do this, according to study investigator Marc Rodger.
HERDOO2 owes its name to the four risk factors which must be considered in determining a patient’s VTE risk recurrence:
VTE is the third most common CV disease after ACS. Short-term treatment with blood thinners can save lives but there’s controversy about continuation of treatment. Most clots are unprovoked and guidelines recommend lifelong blood thinners. However, long-term follow up studies have shown that less than half of patients get recurrent clots if left untreated. The result is that patients continue on blood thinners needlessly.
The REVERSE II trial tested the HERDOO2 rule in a multinational study. A total of 2779 patients (mean age 54.4 years) with a first unprovoked VTE were enrolled after completing at least five and up to 12 months of anticoagulant therapy.
The number considered low-risk based on HERDOO2 criteria was 622, and the majority discontinued anticoagulant therapy. Most of the 591 high-risk women continued anticoagulants.
The primary outcome was recurrent blood clots in low risk women who discontinued blood thinners. The study showed there was a 3% rate of recurrent VTE per patient year for the low-risk women who had discontinued anticoagulants. The rate was 8.1% in high-risk patients who discontinued, and for high-risk patients who continued it was 1.6%.
‘This is an important finding as, using our rule, over half of women with unprovoked VTE can safely discontinue anticoagulants and be spared the burdens, costs, and risks of lifelong anticoagulation,’ said Rodger, from the Ottawa Hospital and University of Ottawa, Ontario, Canada.
Click here to read other scientific highlights in the full edition of the Congress news.
To access all the scientific resources from the sessions during the congress, visit ESC Congress 365.
About the European Society of Cardiology
The European Society of Cardiology brings together health care professionals from more than 120 countries, working to advance cardiovascular medicine and help people lead longer, healthier lives.
About ESC Congress 2016
ESC Congress is the world’s largest gathering of cardiovascular professionals contributing to global awareness of the latest clinical trials and breakthrough discoveries. ESC Congress 2016 takes place 27 to 31 August at the Fiera di Roma in Rome, Italy. The full scientific programme is here.
© 2017 European Society of Cardiology. All rights reserved