Stroke in Heart Failure in Sinus Rhythm: The Warfarin versus Aspirin in Reduced Cardiac Ejection Fraction Trial
Author(s) -
Patrick M. Pullicino,
John L.P. Thompson,
Ralph L. Sacco,
Alexandra Sanford,
Min Qian,
John R. Teerlink,
Haissam Haddad,
Monika Diek,
Ronald S. Freudenberger,
Arthur J. Labovitz,
Marco R. Di Tullio,
Dirk J. Lok,
Piotr Ponikowski,
Stefan D. Anker,
Susan Graham,
Douglas L. Mann,
J.P. Mohr,
Shunichi Homma
Publication year - 2013
Publication title -
cerebrovascular diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 104
eISSN - 1421-9786
pISSN - 1015-9770
DOI - 10.1159/000352058
Subject(s) - medicine , warfarin , atrial fibrillation , aspirin , ejection fraction , stroke (engine) , cardiology , sinus rhythm , heart failure , modified rankin scale , anesthesia , ischemic stroke , ischemia , mechanical engineering , engineering
The Warfarin versus Aspirin in Reduced Cardiac Ejection Fraction trial found no difference between warfarin and aspirin in patients with low ejection fraction in sinus rhythm for the primary outcome: first to occur of 84 incident ischemic strokes (IIS), 7 intracerebral hemorrhages or 531 deaths. Prespecified secondary analysis showed a 48% hazard ratio reduction (p = 0.005) for warfarin in IIS. Cardioembolism is likely the main pathogenesis of stroke in heart failure. We examined the IIS benefit for warfarin in more detail in post hoc secondary analyses.
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