Perspectives and Future Directions of Anticoagulant Therapy in Coronary Artery Disease Patients

Author:

Komiyama Maki1ORCID,Dan Gheorghe-Andrei2ORCID,Hasegawa Koji1

Affiliation:

1. Division of Translational Research, National Hospital Organization Kyoto Medical Center, Kyoto, Japan

2. Carol Davila University of Medicine and Pharmacy, Colentina University Hospital, Bucharest, Romania

Abstract

Antiplatelet agents are routinely used to treat patients with chronic atherosclerotic coronary artery disease. Treatment with the addition of a low dose of rivaroxaban as dual-pathway inhibition (DPI) decreases ischaemic events at the expense of increased bleeding. At present, the balance between thrombotic and bleeding risks must be carefully weighed up when considering DPI. However, with the introduction of activated coagulation factor XI inhibitors, which have fewer bleeding effects, the use of DPI in patients with atherosclerotic cardiovascular diseases could be extended.

Publisher

Radcliffe Media Media Ltd

Subject

Cardiology and Cardiovascular Medicine

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