Apixaban vs Aspirin According to CHA2DS2-VASc Score in Subclinical Atrial Fibrillation

Renato D. Lópes, Christopher B. Granger, Daniel Wojdyla, William F. McIntyre, Marco Alings, Thenmozhi Mani, Chinthanie Ramasundarahettige, Léna Rivard, Dan Atar, David H. Birnie,

Journal of the American College of Cardiology · 2024 · 55 citations · 24 references

DOIFull text

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Abstract

One in 4 patients in ARTESiA with subclinical atrial fibrillation had a CHA<sub>2</sub>DS<sub>2</sub>-VASc score >4 and a stroke/SE risk of 2.2% per year. For these patients, the benefits of treatment with apixaban in preventing stroke/SE are greater than the risks. The opposite is true for patients with CHA<sub>2</sub>DS<sub>2</sub>-VASc score <4. A substantial intermediate group (CHA<sub>2</sub>DS<sub>2</sub>-VASc =4) exists in which patient preferences will inform treatment decisions. (Apixaban for the Reduction of Thrombo-Embolism in Patients With Device-Detected Sub-Clinical Atrial Fibrillation; NCT01938248).

References

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