Anticoagulation With Rivaroxaban in Cardioversion -The ARC Study
Status: | Completed |
---|---|
Conditions: | Atrial Fibrillation, Cardiology, Neurology |
Therapuetic Areas: | Cardiology / Vascular Diseases, Neurology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 2/7/2015 |
Start Date: | October 2012 |
End Date: | October 2014 |
Contact: | Pete Antonopoulos, PharmD |
Email: | 1panton@gmail.com |
Phone: | 312-864-5726 |
Anticoagulation With Rivaroxaban in Post Cardioversion Patients
The purpose of this study is to determine that a new drug called "Rivaroxaban®" is effective
in preventing patients from forming clots after their heart rhythm has been reset by the
cardiologist with an electrical device.
in preventing patients from forming clots after their heart rhythm has been reset by the
cardiologist with an electrical device.
Patient who are electrically cardioverted require 1 month of anticoagulation (blood
thinner). Rivaroxaban a Xa-inhibitor has been shown to be non-inferior to Warfarin (Vit K
antagonist) the current standard of care in many treatment areas. Rivaroxaban will be
compared to Warfarin historical control group studying the safety and efficacy in
electrically cardioverted patients.
thinner). Rivaroxaban a Xa-inhibitor has been shown to be non-inferior to Warfarin (Vit K
antagonist) the current standard of care in many treatment areas. Rivaroxaban will be
compared to Warfarin historical control group studying the safety and efficacy in
electrically cardioverted patients.
Inclusion Criteria:
- Patients with non-valvular atrial fibrillation requiring electrical cardioversion o
Atrial fibrillation of unknown duration
Exclusion Criteria:
- Patients requiring extended anticoagulation after cardioversion due to concomitant
risk factors as defined by CHADS2 score ≥ 1
- Significant renal dysfunction (CrCl <15mL/min)
- Significant hepatic dysfunction (Childs-Pugh Class B or C)
- History of coagulopathy
- Active bleeding
- Hypersensitivity to Rivaroxaban
- Concomitant use of anticoagulants
- Concomitant use of potent CYP3A4/P-gp inhibitors or inducers
- Interventions requiring interruption of therapy
- Pregnancy
- Age <18 y/o
- History of GI Bleed
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