Dr John M

cardiac electrophysiologist, cyclist, learner

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Great Discussion on (new and old) Oral Blood Thinners

April 12, 2012 By Dr John

You may have heard that the new blood thinner, rivaroxaban (Xarelto) made news at the recent ACC meeting in Chicago. The Einstein PE trial showed rivaroxaban equivalent to standard therapy (enoxaparin followed by warfarin) in the treatment of pulmonary embolism (blood-clot in lungs). When the researchers looked at net clinical benefit, a measure that gives equal weight to both primary efficacy outcomes and major bleeding, rivaroxaban fared better than standard therapy. (In my opinion, this trial was the best of the ACC meeting.)

My partner, Harvard-trained Dr. Thomas Tu, sat down with the famous international researcher, Dr. Harry Buller (Netherlands) and Chris Kaiser from Medpagetoday for an old-fashioned roundtable discussion on the new blood thinners, and their role in non-AF conditions.

Both doctors speak clearly and precisely. The 12-minute video offers up an excellent summary of warfarin, the Einstein PE trial and much more. It’s great to see my cubicle mate and all-around nice guy mixing it up with international experts.

Take a look.

JMM

Also: Chris Kaiser has been a supporter of DrJohnM since its inception. Thanks Chris and congrats on a great interview.

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Filed Under: Atrial fibrillation, Dabigatran/Rivaroxaban/Apixaban, General Medicine Tagged With: ACS, Einstein PE, Pulmonary Embolism, Rivaroxaban

John Mandrola, MD

Welcome, Enjoy, Interact. john-mandrola I am a cardiac electrophysiologist practicing in Louisville KY. I am also a husband to a palliative care doctor, a father, a bike racer, and a regular columnist at theHeart.org | Medscape

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For patients...Educational posts

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  • AF ablation — 2015 A Cautionary Note
  • AF Ablation in 2012–An easier journey?
  • Atrial Flutter — 15 facts you may want to know.
  • Benign PVCs: A heart rhythm doctor’s approach.
  • Caution with early Cardioversion
  • Decisions of 2 low-risk cases of PAF
  • Defining success in AF ablation in 2014
  • Four commonly asked questions on AF ablation
  • Inflammation and AF — Get off the gas
  • Ten things to expect after AF ablation
  • The medical decsion as a gamble
  • The most important verb in our health crisis
  • Wellness Requires Ownership

 

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