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Rivaroxaban in patients with a recent acute coronary syndrome event: integration of trial findings into clinical practice

Authors Nallur Shivu G, Ossei-Gerning N

Received 19 December 2013

Accepted for publication 8 February 2014

Published 12 May 2014 Volume 2014:10 Pages 291—302


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Ganesh Nallur Shivu,1 Nick Ossei-Gerning2

1Department of Cardiology, King's Mill Hospital, Sutton-in-Ashfield, Nottinghamshire, UK; 2Department of Cardiology, University Hospital of Wales, Cardiff, UK

Abstract: Despite significant advances in the management of acute coronary syndrome (ACS) and long-term antiplatelet therapy after an ACS event, patients continue to be at risk of further cardiovascular events. There is evidence that recurrent events are at least partly attributed to the persistent activation of the coagulation system after ACS. Various anticoagulants, including vitamin K antagonists (VKAs) and non-VKA oral anticoagulants, have been evaluated in patients post-ACS, in combination with antiplatelet therapy. The desired outcome would be a further reduction of recurrent cardiovascular events with low or acceptable levels of bleeding complications. Here, we provide an overview of the current clinical trial data of non-VKA oral anticoagulants, focusing on rivaroxaban in particular, for secondary prevention in patients with a recent ACS event.

Keywords: acute coronary syndrome, anticoagulants, antiplatelet therapy

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