Open AccessTrends in physiological coagulation factors in Japanese patients receiving novel oral anticoagulants
Author(s) -
Nagao Tomoyuki,
Hunakubo Hiroshi,
Suzuki Mayu,
Kataoka Takashi,
Okumura Satoshi,
Shinoda Norihiro,
Harada Ken,
Kato Bunichi,
Kato Masataka,
Marui Nobuyuki,
Sakai Shinichi,
Amano Tetsuya,
Murohara Toyoaki
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.07.011
Subject(s) - rivaroxaban , medicine , dabigatran , apixaban , atrial fibrillation , antithrombin , coagulation , thrombus , warfarin , coagulation system , d dimer , cardiology , gastroenterology , anesthesia , heparin
Background Little is known about physiological anticoagulation effects via antithrombin III (AT III) and protein C/S (PC/PS) in patients using new oral anticoagulants (NOACs). Methods We evaluated 120 consecutive patients with non‐valvular atrial fibrillation (AF) receiving NOACs. Patients were randomly divided into three groups: a dabigatran group (DG, N =40), a rivaroxaban group (RG, N =40) or an apixaban group (AG, N =40). A warfarin group (WG, N =40) was matched with NOAC groups for age, sex and type of AF during the same time period. Blood samples were obtained in pretreatment, trough and peak phases to measure the activity of physiological coagulation inhibitors, including AT III and PC/PS or thrombus formation markers such as D‐dimer and thrombin–antithrombin complex (TAT). Results D‐dimer, TAT and AT III values for the NOAC groups were equivalent in the peak and trough phases. PC/PS activity in both phases was equally maintained in the pretreatment phase in the NOAC groups, while the activity in the WG was significantly suppressed in steady state. Moreover, no differences in trends for PC/PS activity were observed among NOAC groups. Conclusions PC/PS activity was constant in both peak and trough phases in the patients on NOACs compared with activity of those on warfarin. In addition, there was no difference in the findings among NOACs.