Extended Thromboprophylaxis in Hospitalized Patients with Heart Failure: A Post Hoc Analysis of the MAGELLAN Study

Author:

Spyropoulos Alex C.12ORCID,Raskob Gary E.3,Spiro Theodore E.4,Lu Wentao5,De Sanctis Yoriko4,Albanese John5,Mebazaa Alexandre6,Barnathan Elliot S.5ORCID

Affiliation:

1. Department of Medicine, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, The Feinstein Institute for Medical Research, Manhasset, New York, United States

2. Department of Medicine, Anticoagulation and Clinical Thrombosis Services, Northwell Health at Lenox Hill Hospital, New York, New York, United States

3. Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States

4. Clinical Development, Pharmaceuticals, Bayer US LLC, Whippany, New Jersey, United States

5. Janssen Research & Development, LLC, Raritan, New Jersey, United States

6. Department of Anesthesia and Critical Care, University of Paris, Paris, France

Abstract

AbstractThis post hoc subgroup analysis examined efficacy and safety outcomes with extended thromboprophylaxis rivaroxaban compared with in-hospital enoxaparin in 2,078 patients from the MAGELLAN study who had a hospitalization for heart failure or a history of heart failure and a lower risk of bleeding. A significant 36% reduction in the composite endpoint of asymptomatic proximal deep vein thrombosis (DVT) in the lower extremity, symptomatic DVT in the lower extremity (proximal or distal), symptomatic nonfatal pulmonary embolism, and venous thromboembolism-related death was observed with rivaroxaban. Major bleeding was low in both groups and not significantly increased with rivaroxaban.

Funder

Janssen Research and Development

Publisher

Georg Thieme Verlag KG

Subject

General Medicine

Reference13 articles.

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3. The incidence of ischemic stroke in chronic heart failure: a meta-analysis;B J Witt;J Card Fail,2007

4. Rates of venous thromboembolism occurrence in medical patients among the insured population;A C Spyropoulos;Thromb Haemost,2009

5. Heart disease and stroke statistics-2021 update: a report from the American Heart Association;S S Virani;Circulation,2021

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