Status:

COMPLETED

The Effect and Safety of Different Intensity Anticoagulation Therapy in Elderly Patients With Non-valvular Atrial Fibrillation

Lead Sponsor:

Nanjing Medical University

Conditions:

Atrial Fibrillation

Eligibility:

All Genders

75-94 years

Phase:

PHASE4

Brief Summary

Current guidelines recommend standard warfarin anticoagulation international normalized ratio (INR) goal of 2.0-3.0 in adults with non valvular atrial fibrillation (NVAF). The investigators hypothesiz...

Detailed Description

Atrial fibrillation is the commonest chronic arrhythmia in clinical practice, especially in octogenarians. Nonvalvular atrial fibrillation increases the risk of ischemic stroke by approximately 5-fold ...

Eligibility Criteria

Inclusion

  • Clinical diagnosis of atrial fibrillation
  • Echocardiography confirmed a non-valvular heart disease
  • Age≥75 years

Exclusion

  • Unable to cooperate with doctors
  • Life expectancy of less than 1 year
  • Rheumatic heart disease or dilated cardiomyopathy
  • History of artificial valve replacement surgery
  • Infectious endocarditis
  • Stroke or transient ischemic attack(TIA) within the last 6 months
  • Previous history of intracranial hemorrhage, gastrointestinal, respiratory or urogenital bleeding
  • Previous intolerance/allergy to warfarin or aspirin
  • Blood pressure greater than 180/110 mmHg
  • Chronic liver dysfunction, alanine aminotransferase above the normal reference value of the upper limit 3 times
  • Chronic renal failure, serum creatinine clearance rate (Ccr) less than 30 ml / min
  • Patient was receiving antiplatelet or anticoagulant therapy due to other reasons

Key Trial Info

Start Date :

January 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2012

Estimated Enrollment :

260 Patients enrolled

Trial Details

Trial ID

NCT01438580

Start Date

January 1 2010

End Date

April 1 2012

Last Update

May 21 2012

Active Locations (1)

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1

First Affiliated Hospital of Nanjing Medical University, Division of Geriatrics

Nanjing, Jiangsu, China, 210029