Extended Thromboprophylaxis in Hospitalized Patients with Heart Failure: A Post Hoc Analysis of the MAGELLAN Study.

TH Open: Companion Journal to Thrombosis and Haemostasis Pub Date : 2022-10-07 eCollection Date: 2022-10-01 DOI:10.1055/a-1926-2489
Alex C Spyropoulos, Gary E Raskob, Theodore E Spiro, Wentao Lu, Yoriko De Sanctis, John Albanese, Alexandre Mebazaa, Elliot S Barnathan
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Abstract

This post hoc subgroup analysis examined efficacy and safety outcomes with extended thromboprophylaxis rivaroxaban compared with in-hospital enoxaparin in 2,078 patients from the MAGELLAN study who had a hospitalization for heart failure or a history of heart failure and a lower risk of bleeding. A significant 36% reduction in the composite endpoint of asymptomatic proximal deep vein thrombosis (DVT) in the lower extremity, symptomatic DVT in the lower extremity (proximal or distal), symptomatic nonfatal pulmonary embolism, and venous thromboembolism-related death was observed with rivaroxaban. Major bleeding was low in both groups and not significantly increased with rivaroxaban.

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住院心力衰竭患者的延伸血栓预防:麦哲伦研究的事后分析
这项事后亚组分析对来自MAGELLAN研究的2078名因心力衰竭住院或有心力衰竭史且出血风险较低的患者进行了延长血栓预防利伐沙班与住院依诺肝素的疗效和安全性比较。观察到利伐沙班在下肢无症状近端深静脉血栓形成(DVT)、下肢症状性DVT(近端或远端)、症状性非致死性肺栓塞和静脉血栓栓塞相关死亡的综合终点显著降低36%。两组大出血发生率均较低,利伐沙班组大出血发生率无显著升高。
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