[Efficiency of the Decision-Making Module in the Personalized Choice of an Anticoagulant]

Kardiologiia. 2021 Mar 30;61(3):18-22. doi: 10.18087/cardio.2021.3.n1511.
[Article in Russian]

Abstract

Aim To evaluate the effectiveness of the decision-making module in selecting an oral anticoagulant for patients with atrial fibrillation.Material and methods 638 patients with atrial fibrillation aged 68.2±4.5 years were evaluated. The CHA2DS2-VASc, HAS-BLED, and 2MАСЕ scales, the creatinine clearance calculator, and the Morisky-Green questionnaire were used.Results 311 (48.75 %) patients had paroxysmal atrial fibrillation, 138 (21.6%) had persistent atrial fibrillation, 44 (22.7%) had long-standing persistent atrial fibrillation, and 145 (22.7 %) had permanent atrial fibrillation. Mean CHADS2‑VASc scale score was 4.82; НAS-BLED scale score was 2.9; 2MACE score was 2.28; and compliance score was 3.52. 172 (26.9 %) patients were treated with rivaroxaban; 166 (26 %), with apixaban; 84 (13.2 %), with dabigatran; 210 (32.9 %), with warfarin; and 6 (1 %), with acetylsalicylic acid.Conclusion The developed decision-making module is based on scientific justification of personalized selection of the oral anticoagulant and updates the knowledge on major issues of prescription.

MeSH terms

  • Administration, Oral
  • Aged
  • Anticoagulants / therapeutic use
  • Atrial Fibrillation* / drug therapy
  • Dabigatran / therapeutic use
  • Humans
  • Middle Aged
  • Pyridones / therapeutic use
  • Rivaroxaban / therapeutic use
  • Stroke* / drug therapy
  • Warfarin / therapeutic use

Substances

  • Anticoagulants
  • Pyridones
  • Warfarin
  • Rivaroxaban
  • Dabigatran