Abrignani MG, Lombardo A, Braschi A, Renda N, Abrignani V, Lombardo RM. Time trends in antithrombotic therapy prescription patterns: Real-world monocentric study in hospitalized patients with atrial fibrillation. World J Cardiol 2022; 14(11): 576-598 [PMID: 36483763 DOI: 10.4330/wjc.v14.i11.576]
Corresponding Author of This Article
Maurizio Giuseppe Abrignani, MD, Doctor, Operative Unit of Cardiology, Department of Medicine, S. Antonio Abate Hospital of Trapani, ASP Trapani, Via Mazzini 1, Trapani 91100, Trapani, Italy. maur.abri@alice.it
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Nov 26, 2022; 14(11): 576-598 Published online Nov 26, 2022. doi: 10.4330/wjc.v14.i11.576
Table 1 Other main diagnosis excluding atrial fibrillation in the studied sample
Diagnosis
n
%
AMI
1973
48.19
Cardiac arrhythmias
210
5.37
Chest pain
201
4.91
Heart failure
143
3.49
Chronic coronary syndrome
80
1.95
Cardiomyopathies
77
1.88
Peripheral artery disease
74
1.81
Stable angina
55
1.34
Unstable angina
45
1.10
Pericarditis
29
0.71
Valvular heart diseases
27
0.66
Shock
21
0.51
Pulmonary embolism
22
0.49
Other
233
15.65
Table 2 Secondary cardiac and extra-cardiac diagnoses in the studied sample
Secondary diagnosis
n
%
Cardiac
Chronic coronary syndromes
1864
45.51
Cardiomyopathies
1221
29.81
Valvular heart diseases
595
14.53
Heart failure
406
9.91
Arrhythmias
119
2.91
Angina pectoris
91
2.22
Extra-cardiac
Arterial hypertension
1010
24.66
Renal diseases
985
24.05
Diabetes mellitus
932
22.75
Lung diseases
617
15.06
Dyslipidemias
345
8.42
Cerebrovascular & psychiatric diseases
313
7.64
Thyroid diseases
152
3.71
Anemia
166
4.05
Peripheral artery diseases
146
3.56
Obesity
137
3.12
Neoplastic diseases
83
2.03
Table 3 Main diagnostic and therapeutic procedures performed in the studied sample
Procedures
n
%
Diagnostic
Echocardiogram
3588
87.60
Coronary angiography
804
19.63
Dynamic ECG monitoring
458
11.18
CT scan
299
7.30
Other echography
212
5.18
Stress test
139
3.39
Therapeutic
Coronary PTCA/stenting
941
22.97
PM implantation
258
6.30
ICD implantation
90
2.20
Peripheral vessels angiography
90
2.20
Peripheral vessels PTCA/stenting
60
1.46
Electric cardioversion
56
3.71
Table 4 Changes in prescribed antithrombotic drugs over time in the studied group (absolute numbers)
Yr
Warfarin
Acenocumarole
Dabigatran
Rivaroxaban
Apixaban
Edoxaban
Aspirin
Clopidogrel
Ticlopidine
Ticagrelor
Prasugrel
LMWH
Fondaparinux
No therapy
2010
32
3
41
35
1
2
17
2011
93
3
82
30
2
24
2012
100
11
99
47
1
58
2013
177
12
2
191
73
7
7
1
17
4
65
2014
114
7
10
108
28
12
7
4
41
2015
149
12
18
11
138
40
5
13
1
20
1
55
2016
127
6
29
25
3
138
48
13
5
26
34
2017
116
17
18
24
46
16
95
63
7
9
6
30
2018
56
4
20
45
54
21
52
43
4
3
1
7
2019
43
4
40
40
67
21
68
55
2
3
2
2
2020
31
1
19
30
55
27
49
46
5
7
5
7
2021
15
2
29
17
46
41
35
35
4
2
8
Citation: Abrignani MG, Lombardo A, Braschi A, Renda N, Abrignani V, Lombardo RM. Time trends in antithrombotic therapy prescription patterns: Real-world monocentric study in hospitalized patients with atrial fibrillation. World J Cardiol 2022; 14(11): 576-598