• Best Pract Res Clin Haematol · Jun 2013

    Review

    New oral anticoagulants in elderly patients.

    • Stefano Barco, Yuk Wah Cheung, John W Eikelboom, and Michiel Coppens.
    • Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
    • Best Pract Res Clin Haematol. 2013 Jun 1;26(2):215-24.

    AbstractThe new oral anticoagulants (NOACs) dabigatran etexilate, rivaroxaban, and apixaban have been extensively studied for prevention and treatment of venous thromboembolic disease and for stroke prevention in atrial fibrillation. Elderly patients have the highest incidence of thrombotic complications but also have the highest risk of anticoagulant associated bleeding. In this review we critically examine the balance between risks and benefits of NOACs compared with vitamin K antagonists in elderly patients enrolled in phase 3 randomized controlled trials for the management of venous thrombosis and stroke prevention in atrial fibrillation. Results show that the favourable balance between risks and benefits of NOACs is preserved in the elderly population.© 2013 Elsevier Ltd. All rights reserved.

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