Multicenter Randomized Controlled Trial of Vitamin K Antagonist Replacement by Rivaroxaban with or without Vitamin K2 in Hemodialysis Patients with Atrial Fibrillation: the Valkyrie Study
Author(s) -
An S. De Vriese,
Rogier Caluwé,
Lotte Pyfferoen,
Dirk De Bacquer,
K. De Boeck,
Joost Delanote,
Didier De Surgeloose,
Piet Van Hoenacker,
Bruno Van Vlem,
Francis Verbeke
Publication year - 2019
Publication title -
journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.451
H-Index - 279
eISSN - 1533-3450
pISSN - 1046-6673
DOI - 10.1681/asn.2019060579
Subject(s) - medicine , rivaroxaban , atrial fibrillation , vitamin k2 , vitamin k antagonist , hemodialysis , cardiology , randomized controlled trial , stroke (engine) , vitamin , warfarin , mechanical engineering , engineering
Vitamin K antagonists (VKAs), although commonly used to reduce thromboembolic risk in atrial fibrillation, have been incriminated as probable cause of accelerated vascular calcification (VC) in patients on hemodialysis. Functional vitamin K deficiency may further contribute to their susceptibility for VC. We investigated the effect of vitamin K status on VC progression in 132 patients on hemodialysis with atrial fibrillation treated with VKAs or qualifying for anticoagulation.
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