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Effectiveness and safety of rivaroxaban vs. warfarin in non-valvular atrial fibrillation patients with a non-sex-related CHA2DS2-VASc score of 1

Editorial by Stefan Agewall published on the April Issue of European Heart Journal – Cardiovascular Pharmacotherapy

Anticoagulants
Cardiovascular Pharmacotherapy

European Heart Journal - Cardiovascular Pharmacotherapy, Volume 5, Issue 2, April 2019, Pages 64–69

Dr Baker and co-workers from the USA compared the effectiveness and safety of standard dose rivaroxaban (20 mg o.d.) and warfarin in non-valvular atrial fibrillation (NVAF) patients with a non-sex-related CHA2DS2-VASc score of 1. The authors used US Truven MarketScan claims from November 2011 to December 2016 for anticoagulant-naïve NVAF patients with a single non-sex-related stroke risk factor assigned 1 point in the CHA2DS2-VASc score and concluded that rivaroxaban may lower the rate of stroke or systemic embolism compared with warfarin in NVAF patients with a non-sex-related CHA2DS2-VASc score of 1 without impacting major bleeding. The treatment threshold in these patients has previously been discussed in our journal

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.

References


Overvad TF, Nielsen PB, Lip GY. Treatment thresholds for stroke prevention in atrial fibrillation: observations on the CHA2DS2-VASc score. Eur Heart J Cardiovasc Pharmacother  2017;3:37–41

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.