Warfarin safety and efficacy in patients with thoracic aortic plaque and atrial fibrillation

被引:41
作者
Blackshear, JL
Zabalgoitia, M
Pennock, G
Fenster, P
Strauss, R
Halperin, J
Asinger, R
Pearce, LA
机构
[1] Mayo Clin Jacksonville, Div Cardiovasc Dis, Jacksonville, FL 32224 USA
[2] Univ Texas, Hlth Sci Ctr, San Antonio, TX USA
[3] Vet Affairs Med Ctr, Tucson, AZ USA
[4] Arizona Hlth Sci Ctr, Tucson, AZ 85724 USA
[5] Kaiser Sunnyside Med Ctr, Clackamas, OR USA
[6] Mt Sinai Med Ctr, New York, NY 10029 USA
[7] Hennepin Cty Med Ctr, Minneapolis, MN 55415 USA
[8] SPAF Stat Ctr, Seattle, WA USA
关键词
D O I
10.1016/S0002-9149(98)00886-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with atrial fibrillation and with documented aortic plaque who were assigned to adjusted-dose warfarin therapy (international normalized ratio 2.0 to 3.0) had an annual rate of cholesterol embolization of 0.7% (95% confidence interval [CI] 0.1% to 5.3%/patient-year). Warfarin-assigned patients with plaque had a lower rate of embolic events (5.9%/year; 95% CI 3.0 to 12) than those on combination low-dose warfarin (international normalized ratio <1.5) plus aspirin (17.3%/year; 95% CI 11 to 27; p = 0.01).
引用
收藏
页码:453 / +
页数:4
相关论文
共 10 条
[1]  
Amarenco P, 1996, NEW ENGL J MED, V334, P1216
[2]  
[Anonymous], J AM SOC ECHOCARDIOG
[3]  
Blackshear JL, 1996, LANCET, V348, P633
[4]   MOBILE THROMBI IN ATHEROSCLEROTIC LESIONS OF THE THORACIC AORTA - THE DIAGNOSTIC IMPACT OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY [J].
DEE, W ;
GEIBEL, A ;
KASPER, W ;
KONSTANTINIDES, S ;
JUST, H .
AMERICAN HEART JOURNAL, 1993, 126 (03) :707-710
[5]   Mobile aortic atheroma and systemic emboli: Efficacy of anticoagulation and influence of plaque morphology on recurrent stroke [J].
Dressler, FA ;
Craig, WR ;
Castello, R ;
Labovitz, AJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1998, 31 (01) :134-138
[6]  
Laperche T, 1997, CIRCULATION, V96, P288
[7]   Natural history of severe atheromatous disease of the thoracic aorta: A transesophageal echocardiographic study [J].
Montgomery, DH ;
Ververis, JJ ;
McGorisk, G ;
Frohwein, S ;
Martin, RP ;
Taylor, WR .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1996, 27 (01) :95-101
[8]   PROTRUDING ATHEROMAS IN THE THORACIC AORTA AND SYSTEMIC EMBOLIZATION [J].
TUNICK, PA ;
PEREZ, JL ;
KRONZON, I .
ANNALS OF INTERNAL MEDICINE, 1991, 115 (06) :423-427
[9]   Pathologic correlates of aortic plaques, thrombi and mobile ''aortic debris'' imaged in vivo with transesophageal echocardiography [J].
Vaduganathan, P ;
Ewton, A ;
Nagueh, SF ;
Weilbaecher, DG ;
Safi, HJ ;
Zoghbi, WA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 30 (02) :357-363
[10]   Transesophageal echocardiographic correlates of thromboembolism in high-risk patients with nonvalvular atrial fibrillation [J].
Zabalgoitia, M ;
Leonard, A ;
Blackshear, JL ;
Safford, R ;
Baker, VS ;
Fenster, P ;
Pennock, GD ;
Ohm, J ;
Huerta, BJ ;
Strauss, R ;
McKenzie, M ;
Hart-McArthur, P ;
Gramberg, M ;
Houston, H ;
Chan, KL ;
Biggs, J ;
Ives, A ;
Rothbart, R ;
Murray, D ;
Loutfi, H ;
Lynch, JJ ;
Carlson, L ;
Labovitz, AJ ;
Vigil, A ;
Asinger, RW ;
Dick, CD ;
Newburg, SM ;
Fifield, J ;
Khandheria, BK ;
Holland, AE ;
Tucker, KR ;
Goldman, ME ;
Rothlauf, EB ;
Hess, D ;
Young, L ;
Mego, DM ;
Boyd, S ;
Wilson, D ;
Nolte, B ;
Edwards, C ;
Mezei, L ;
Riggio, S ;
Giraud, G ;
Marchant, C ;
Timberg, J ;
Dittrich, HC ;
Keen, W ;
Kerridge, C ;
Bernard, S ;
Battinelli, N .
ANNALS OF INTERNAL MEDICINE, 1998, 128 (08) :639-+