Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice

Edoxaban is approved for stroke prevention in nonvalvular atrial fibrillation (AF) patients in numerous countries. Outcome data are sparse on edoxaban treatment in AF patients from routine clinical practice, especially in Asian patients. Global ETNA (Edoxaban in rouTine cliNical prActice) is a nonin...

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Autores principales: Eue-Keun Choi, Wei-Shiang Lin, Gyo-Seung Hwang, Paulus Kirchhof, Raffaele De Caterina, Cathy Chen, Martin Unverdorben, Chun-Chieh Wang, Young-Hoon Kim
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/572bb07d56b040df9518e3e34245b702
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spelling oai:doaj.org-article:572bb07d56b040df9518e3e34245b7022021-11-25T18:01:52ZClinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice10.3390/jcm102253372077-0383https://doaj.org/article/572bb07d56b040df9518e3e34245b7022021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5337https://doaj.org/toc/2077-0383Edoxaban is approved for stroke prevention in nonvalvular atrial fibrillation (AF) patients in numerous countries. Outcome data are sparse on edoxaban treatment in AF patients from routine clinical practice, especially in Asian patients. Global ETNA (Edoxaban in rouTine cliNical prActice) is a noninterventional study that integrates data from patients from multiple regional registries into one database. Here, we report the 1-year clinical events from AF patients receiving edoxaban in South Korea and Taiwan. Clinical events assessed included bleeding, strokes, systemic embolic events, transient ischemic attacks (TIAs), and all-cause and cardiovascular death. Overall, 2677 patients (mean (range) age 72 (66–78) years, male 59.7%, mean CHA<sub>2</sub>DS<sub>2</sub>-VASc score ± standard deviation 3.1 ± 1.4) were treated with 60 or 30 mg edoxaban and had 1-year follow-up data. The annualized event rates for major bleeding and clinically relevant non-major (CRNM) bleeding were 0.78% and 0.47%, respectively. Annualized event rates for ischemic stroke and hemorrhagic stroke were 0.90% and 0.19%, respectively. Event rates for major and CRNM bleeding and rates of ischemic stroke and TIA were higher in Taiwanese patients than in Korean patients. Event rates were low and similar to those found in other studies of edoxaban in Korean and Taiwanese AF patients, thus supporting the safety and effectiveness of edoxaban in this population.Eue-Keun ChoiWei-Shiang LinGyo-Seung HwangPaulus KirchhofRaffaele De CaterinaCathy ChenMartin UnverdorbenChun-Chieh WangYoung-Hoon KimMDPI AGarticleatrial fibrillationedoxabanreal-world dataAsiaETNAMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5337, p 5337 (2021)
institution DOAJ
collection DOAJ
language EN
topic atrial fibrillation
edoxaban
real-world data
Asia
ETNA
Medicine
R
spellingShingle atrial fibrillation
edoxaban
real-world data
Asia
ETNA
Medicine
R
Eue-Keun Choi
Wei-Shiang Lin
Gyo-Seung Hwang
Paulus Kirchhof
Raffaele De Caterina
Cathy Chen
Martin Unverdorben
Chun-Chieh Wang
Young-Hoon Kim
Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
description Edoxaban is approved for stroke prevention in nonvalvular atrial fibrillation (AF) patients in numerous countries. Outcome data are sparse on edoxaban treatment in AF patients from routine clinical practice, especially in Asian patients. Global ETNA (Edoxaban in rouTine cliNical prActice) is a noninterventional study that integrates data from patients from multiple regional registries into one database. Here, we report the 1-year clinical events from AF patients receiving edoxaban in South Korea and Taiwan. Clinical events assessed included bleeding, strokes, systemic embolic events, transient ischemic attacks (TIAs), and all-cause and cardiovascular death. Overall, 2677 patients (mean (range) age 72 (66–78) years, male 59.7%, mean CHA<sub>2</sub>DS<sub>2</sub>-VASc score ± standard deviation 3.1 ± 1.4) were treated with 60 or 30 mg edoxaban and had 1-year follow-up data. The annualized event rates for major bleeding and clinically relevant non-major (CRNM) bleeding were 0.78% and 0.47%, respectively. Annualized event rates for ischemic stroke and hemorrhagic stroke were 0.90% and 0.19%, respectively. Event rates for major and CRNM bleeding and rates of ischemic stroke and TIA were higher in Taiwanese patients than in Korean patients. Event rates were low and similar to those found in other studies of edoxaban in Korean and Taiwanese AF patients, thus supporting the safety and effectiveness of edoxaban in this population.
format article
author Eue-Keun Choi
Wei-Shiang Lin
Gyo-Seung Hwang
Paulus Kirchhof
Raffaele De Caterina
Cathy Chen
Martin Unverdorben
Chun-Chieh Wang
Young-Hoon Kim
author_facet Eue-Keun Choi
Wei-Shiang Lin
Gyo-Seung Hwang
Paulus Kirchhof
Raffaele De Caterina
Cathy Chen
Martin Unverdorben
Chun-Chieh Wang
Young-Hoon Kim
author_sort Eue-Keun Choi
title Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
title_short Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
title_full Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
title_fullStr Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
title_full_unstemmed Clinical Events with Edoxaban in South Korean and Taiwanese Atrial Fibrillation Patients in Routine Clinical Practice
title_sort clinical events with edoxaban in south korean and taiwanese atrial fibrillation patients in routine clinical practice
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/572bb07d56b040df9518e3e34245b702
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