Evidence map›Paper›PMID 34658247›Full record

ArticleJournal of the American Heart Association2021

Antithrombotic Therapy for Atrial Fibrillation and Coronary Artery Disease in Patients With Prior Atherothrombotic Disease: A Post Hoc Analysis of the AFIRE Trial.

Yasushi Matsuzawa, Kazuo Kimura, Satoshi Yasuda, Koichi Kaikita, Masaharu Akao, Junya Ako, Tetsuya Matoba, Masato Nakamura, Katsumi Miyauchi, Nobuhisa Hagiwara and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 11 citations in OpenAlex.

  1. Antithrombotic therapy for stable coronary artery disease and atrial fibrillation in patients with and without revascularisation: the AFIRE trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

Yasushi MatsuzawaDivision of Cardiology Yokohama City University Medical Center Yokohama Japan.
Kazuo KimuraDivision of Cardiology Yokohama City University Medical Center Yokohama Japan.ORCID 0000-0002-6767-7265
Satoshi YasudaNational Cerebral and Cardiovascular Center Osaka Japan.
Koichi KaikitaDepartment of Cardiovascular Medicine Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0003-2962-8056
Masaharu AkaoDepartment of Cardiology National Hospital Organization Kyoto Medical Center Kyoto Japan.ORCID 0000-0002-2348-7646
Junya AkoDepartment of Cardiovascular Medicine Kitasato University School of Medicine Sagamihara Japan.ORCID 0000-0001-6645-6404
Tetsuya MatobaDepartment of Cardiovascular Medicine Faculty of Medical Sciences Kyushu University Fukuoka Japan.ORCID 0000-0003-4563-304X
Masato NakamuraDivision of Cardiovascular Medicine Toho University Ohashi Medical Center Tokyo Japan.ORCID 0000-0003-1463-3469
Katsumi MiyauchiDepartment of Cardiovascular Medicine Juntendo Tokyo Koto Geriatric Medical Center Tokyo Japan.
Nobuhisa HagiwaraDepartment of Cardiology Tokyo Women's Medical University Tokyo Japan.
Atsushi HirayamaDepartment of Cardiology Osaka Police Hospital Osaka Japan.
Kunihiko MatsuiDepartment of General Medicine and Primary Care Kumamoto University Hospital Kumamoto Japan.
Hisao OgawaNational Cerebral and Cardiovascular Center Osaka Japan.
AFIRE Investigators
Yokohama City University Medical Center · JPKitasato University · JPKumamoto University · JPKumamoto University Hospital · JPKyoto Medical Center · JPKyushu University · JPNational Cerebral and Cardiovascular Center · JPOsaka Police Hospital · JPTohoku University · JPToho University · JPTokyo Metropolitan Geriatric Hospital · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Among patients with atrial fibrillation and stable coronary artery disease, those with histories of atherothrombotic disease are at high-risk for future ischemic events. This study investigated the efficacy and safety of rivaroxaban monotherapy in patients with atrial fibrillation, coronary artery disease, and histories of atherothrombotic disease. Methods and Results This was a post hoc subanalysis of the AFIRE (Atrial Fibrillation and Ischemic Events With Rivaroxaban in Patients With Stable Coronary Artery Disease) trial. Patients with non-valvular atrial fibrillation and coronary artery disease were recruited and randomized to receive the rivaroxaban monotherapy or combination therapy with rivaroxaban plus antiplatelet drug. For the purpose of this sub-study, participants were divided into 2 subgroups, including the atherothrombosis group (those with histories of myocardial infarction, stroke, and/or peripheral artery disease; n=1052, 47.5%) and non-atherothrombosis group (n=1163, 52.5%). The efficacy end point included cardiovascular events or all-cause death, while the safety end point was major bleeding. Net adverse events consisted of all-cause death, myocardial infarction, stroke, or major bleeding. In the atherothrombosis group, rivaroxaban monotherapy was significantly associated with a lower risk of net adverse events when compared with combination therapy (hazard ratio [HR], 0.50; 95% CI, 0.34-0.74;

Indexed as

Atrial FibrillationCoronary Artery DiseaseAnticoagulantsFactor Xa InhibitorsFibrinolytic AgentsHemorrhageHumansMyocardial InfarctionPlatelet Aggregation InhibitorsRivaroxabanStrokeTreatment OutcomeAnticoagulantsFactor Xa InhibitorsFibrinolytic AgentsPlatelet Aggregation InhibitorsRivaroxabanantiplatelet drugantithrombotic therapyatrial fibrillationcoronary artery diseasedirect oral anticoagulant

Identifiers

PMID34658247
PMCPMC8751847
OpenAlexW3207607276

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.