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Apixaban or Vitamin K Antagonists and Aspirin or Placebo According to Kidney Function in Patients With Atrial Fibrillation After Acute Coronary Syndrome or Percutaneous Coronary Intervention
Author(s) -
Ziad Hijazi,
John H. Alexander,
Zhuokai Li,
Daniel Wojdyla,
Roxana Mehran,
Christopher B. Granger,
Alexander Parkhomenko,
M. Cecilia Bahit,
Stephan Windecker,
Ronald Aronson,
Otávio Berwanger,
Sigrun Halvorsen,
Suzanne de WahaThiele,
Peter Sinnaeve,
Harald Darius,
Robert F. Storey,
Renato D. Lópes
Publication year - 2021
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.120.051020
Subject(s) - medicine , apixaban , aspirin , acute coronary syndrome , atrial fibrillation , percutaneous coronary intervention , kidney disease , cardiology , renal function , myocardial infarction , vitamin k antagonist , placebo , stroke (engine) , warfarin , rivaroxaban , mechanical engineering , alternative medicine , pathology , engineering
In the AUGUSTUS trial (An Open-Label, 2×2 Factorial, Randomized Controlled, Clinical Trial to Evaluate the Safety of Apixaban Versus Vitamin K Antagonist and Aspirin Versus Aspirin Placebo in Patients With Atrial Fibrillation and Acute Coronary Syndrome or Percutaneous Coronary Intervention), apixaban resulted in less bleeding and fewer hospitalizations than vitamin K antagonists, and aspirin caused more bleeding than placebo in patients with atrial fibrillation and acute coronary syndrome or percutaneous coronary intervention treated with a P2Y 12 inhibitor. We evaluated the risk-benefit balance of antithrombotic therapy according to kidney function.

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