Atrial fibrillation
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) CHA2DS2-VASc score higher than 2; (2) under the treatment with or intended to use direct factor Xa inhibitor (FXaI; rivaroxaban, apixaban, or edoxaban) in order to prevent stroke or systemic embolism by AF; (3) older than 20 years old at the enrollment; and (4) with written informed consent.
Exclusion criteria
Exclusion criteria: Patients with any of the following at the enrollment were excluded; (1) receiving antiplatelet therapy, (2) inadequate dosage of FXaI with the Japanese pharmaceutical reference; (3) FXaI hypersensitivity; (4) patients with active bleeding (intracranial hemorrhage or retroperitoneal hemorrhage or bleeding in other important organs); (5) patients with acute bacterial endocarditis; (6) renal dysfunction (creatinine clearance < 30 mL/min); (7) liver dysfunction with clotting disorder; (8) cardiovascular event (stroke, myocardial infarction, percutaneous coronary intervention, and admission with heart failure) or major bleeding with admission before one month of enrollment, (9) patients who did not provide written informed consent; and (10) patients who were judged by the researchers to be inappropriate for this study (i.e., incapable of understanding the study protocol due to dementia, intellectual disturbance, and/or psychiatric/psychosomatic disorder).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. 90% interval of DOAC concentration 2. Relationship between DOAC concentration and SFMC and D-dimer 3. Relationship between DOAC and relevant coagulation markers and inflammatory markers | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse events during follow up period. 1. Death (all-cause death, cardiovascular death, non cardiovascular death) 2. Stroke (ischemic stroke, intracranial hemorrhage, other) 3. Systemic embolism 4. Major bleeding needing hospitalization 5. Cardiovascular event needing hospitalization 6. Othrer | — |
Countries
Japan
Contacts
Cardiovascular Institute Academic Reserch Organization (CVI ARO) Head Office