Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Novel oral anticoagulant use in adults with congenital heart disease : a single-center experience report

Samarai, Daniel LU orcid ; Isma, Nazim LU ; Lindstedt, Sandra LU and Hlebowicz, Joanna LU (2023) In Egyptian Heart Journal 75(1).
Abstract

Background: Adults with congenital heart disease (ACHD) are a group with an increased risk of thromboembolic complications and arrhythmias. Vitamin K antagonists are the most commonly used thromboprophylaxis therapy in this population. Studies on the efficacy and safety of novel oral anticoagulants (NOAC) are scare in ACHD. A retrospective study on ACHD patients on NOAC treatment registered in the National Quality Registry for Congenital Heart Disease, SWEDCON, and National Quality Registry for Atrial fibrillation and Anticoagulation, AuriculA, from Southern Sweden. Results: Thirty patients who had been taking NOAC treatment for a minimum of 3 months were included. Their median age was 55 years (SD 17 years) and 57% were male. Median... (More)

Background: Adults with congenital heart disease (ACHD) are a group with an increased risk of thromboembolic complications and arrhythmias. Vitamin K antagonists are the most commonly used thromboprophylaxis therapy in this population. Studies on the efficacy and safety of novel oral anticoagulants (NOAC) are scare in ACHD. A retrospective study on ACHD patients on NOAC treatment registered in the National Quality Registry for Congenital Heart Disease, SWEDCON, and National Quality Registry for Atrial fibrillation and Anticoagulation, AuriculA, from Southern Sweden. Results: Thirty patients who had been taking NOAC treatment for a minimum of 3 months were included. Their median age was 55 years (SD 17 years) and 57% were male. Median follow-up was 17 months (IQR: 10–41). Eliquis was the most used NOAC (47%). Median CHA2DS2-VASc score was 2 (IQR: 0–3) and HAS-BLED was 1 (IQR: 0–2). Complex ACHD was prevalent in 27% of the patients. No thromboembolic events were recorded; however, one major bleeding, unspecified, was reported during the total cumulative patient follow-up time of 64 years. Conclusions: The results of our study, although limited in size, suggest that NOAC appear safe and effective in ACHD patients. Further and larger studies on NOAC in ACHD patients are warranted.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Atrial fibrillation, Congenital heart disease, Novel oral anticoagulants
in
Egyptian Heart Journal
volume
75
issue
1
article number
3
publisher
Springer Open
external identifiers
  • scopus:85146647314
  • pmid:36624331
ISSN
1110-2608
DOI
10.1186/s43044-022-00326-1
language
English
LU publication?
yes
id
2d1ed68a-b0ea-4fea-bb82-62a1858f96c5
date added to LUP
2023-02-09 15:30:30
date last changed
2024-06-25 15:20:02
@article{2d1ed68a-b0ea-4fea-bb82-62a1858f96c5,
  abstract     = {{<p>Background: Adults with congenital heart disease (ACHD) are a group with an increased risk of thromboembolic complications and arrhythmias. Vitamin K antagonists are the most commonly used thromboprophylaxis therapy in this population. Studies on the efficacy and safety of novel oral anticoagulants (NOAC) are scare in ACHD. A retrospective study on ACHD patients on NOAC treatment registered in the National Quality Registry for Congenital Heart Disease, SWEDCON, and National Quality Registry for Atrial fibrillation and Anticoagulation, AuriculA, from Southern Sweden. Results: Thirty patients who had been taking NOAC treatment for a minimum of 3 months were included. Their median age was 55 years (SD 17 years) and 57% were male. Median follow-up was 17 months (IQR: 10–41). Eliquis was the most used NOAC (47%). Median CHA<sub>2</sub>DS<sub>2</sub>-VASc score was 2 (IQR: 0–3) and HAS-BLED was 1 (IQR: 0–2). Complex ACHD was prevalent in 27% of the patients. No thromboembolic events were recorded; however, one major bleeding, unspecified, was reported during the total cumulative patient follow-up time of 64 years. Conclusions: The results of our study, although limited in size, suggest that NOAC appear safe and effective in ACHD patients. Further and larger studies on NOAC in ACHD patients are warranted.</p>}},
  author       = {{Samarai, Daniel and Isma, Nazim and Lindstedt, Sandra and Hlebowicz, Joanna}},
  issn         = {{1110-2608}},
  keywords     = {{Atrial fibrillation; Congenital heart disease; Novel oral anticoagulants}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Springer Open}},
  series       = {{Egyptian Heart Journal}},
  title        = {{Novel oral anticoagulant use in adults with congenital heart disease : a single-center experience report}},
  url          = {{http://dx.doi.org/10.1186/s43044-022-00326-1}},
  doi          = {{10.1186/s43044-022-00326-1}},
  volume       = {{75}},
  year         = {{2023}},
}