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Page 1: , 2011; Fuster, - Weill Cornell Brain and Spine
Page 2: , 2011; Fuster, - Weill Cornell Brain and Spine

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Rogers, Circulation, 2011; Fuster, Circulation, 2006

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Fuster, Circulation, 2006

Page 5: , 2011; Fuster, - Weill Cornell Brain and Spine

Fuster, Circulation, 2006

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Fuster, Circulation, 2006

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Lip, Chest, 2010

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Friberg, Circulation, 2012

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Lip, Chest, 2010

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Pisters, Chest, 2010

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Pisters, Chest, 2010

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HASBLED Score

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Figure.

The net clinical benefit of warfarin by age group (top) and CHADS2 score (bottom). Net clinical

benefit is plotted as the adjusted, weighted adverse events prevented per 100 person-years by

warfarin treatment, according to age group and CHADS 2 score, respectively. Intracranial

hemorrhage is weighted as 1.5 times the value of thromboembolism (see Methods section).

Stratified rates for CHADS2 score are not further adjusted. CHADS2 = Congestive Heart

Failure/Hypertension/Age/Diabetes/Prior Stroke2.

Singer et al. Page 12

Ann Intern Med. Author manuscript; available in PMC 2010 March 1.

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Fang, Ann Intern Med, 2009

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Dabigatran Rivaroxaban Apixaban

Average age 72 73 70

Average CHADS2 2.1 3.5 2.1

Prior stroke/TIA 20% 55% 20%

Connolly, NEJM, 2009; Granger, NEJM, 2011; Patel, NEJM, 2011

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Connolly, NEJM, 2009; Granger, NEJM, 2011; Patel, NEJM, 2011

Dabigatran Rivaroxaban Apixaban

Blinding Single Double Double

Sample size 18,113 14,264 18,201

Follow-up 2.0 yrs 1.9 yrs 1.8 yrs

Mean TTR 64% 55% 62%

Discontinued 21 v. 17% 24 v. 22% 25 v. 28%

Page 16: , 2011; Fuster, - Weill Cornell Brain and Spine

Connolly, NEJM, 2009; Granger, NEJM, 2011; Patel, NEJM, 2011

Dabigatran Rivaroxaban Apixaban

Stroke: 0.66 0.79 0.79

ICH: 0.40 0.67 0.42

MI: 1.38 0.81 0.88

Death: 0.88 0.92 0.89

Page 17: , 2011; Fuster, - Weill Cornell Brain and Spine

Connolly, NEJM, 2009; Granger, NEJM, 2011; Patel, NEJM, 2011

Dabigatran Rivaroxaban Apixaban

Stroke:

Active 1.11% 1.7% 1.27%

Warfarin 1.69% 2.2% 1.60%

ICH:

Active 0.30% 0.5% 0.33%

Warfarin 0.74% 0.7% 0.80%

Page 18: , 2011; Fuster, - Weill Cornell Brain and Spine

Hart, Stroke, 2012; FDA, fda.gov, 2012

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Freeman, Ann Intern Med, 2011; Shah, Circulation, 2011; Kamel, Stroke, 2011; Lee, Am J Cardiol, 2012; Lee, PLoS One, 2012; Kamel, Neurology, 2012

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You, Chest, 2012; Cairns, Can J Cardiol, 2012

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Donze, Am J Med, 2012; Healey, NEJM, 2012; You, Chest, 2012;

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