Cause of Death and Predictors of All‐Cause Mortality in Anticoagulated Patients With Nonvalvular Atrial Fibrillation: Data From ROCKET AF. Issue 3 (8th March 2016)
- Record Type:
- Journal Article
- Title:
- Cause of Death and Predictors of All‐Cause Mortality in Anticoagulated Patients With Nonvalvular Atrial Fibrillation: Data From ROCKET AF. Issue 3 (8th March 2016)
- Main Title:
- Cause of Death and Predictors of All‐Cause Mortality in Anticoagulated Patients With Nonvalvular Atrial Fibrillation: Data From ROCKET AF
- Authors:
- Pokorney, Sean D.
Piccini, Jonathan P.
Stevens, Susanna R.
Patel, Manesh R.
Pieper, Karen S.
Halperin, Jonathan L.
Breithardt, Günter
Singer, Daniel E.
Hankey, Graeme J.
Hacke, Werner
Becker, Richard C.
Berkowitz, Scott D.
Nessel, Christopher C.
Mahaffey, Kenneth W.
Fox, Keith A. A.
Califf, Robert M. - Other Names:
- Anderson J. investigator.
Bedwell N. investigator.
Bilsker M. investigator.
Bruce G. investigator.
Agah R. investigator.
DeSantis M. investigator.
Eisenberg S. investigator.
Flores A. investigator.
Herzog W. investigator.
Klein S. investigator.
Snyder H. investigator.
Krueger S. investigator.
Almaguer E. investigator.
Lavie E. investigator.
Lee C. investigator.
Mallis G. investigator.
Modi M. investigator.
Woodworth G. investigator.
Niazi I. investigator.
Peart B. investigator.
Sundaram S. investigator.
Snoddy B. investigator.
Sotolongo R. investigator.
Moloney J. investigator.
Vijayaraghavan K. investigator.
Whittier F. investigator.
Yellen L. investigator.
Banerjee S. investigator.
Lustgarten D. investigator.
Suresh D. investigator.
Gelernt M. investigator.
Levinson L. investigator.
Ghanekar R. investigator.
Kneller G. investigator.
Hall C. investigator.
Fadl Y. investigator.
Pirwitz M. investigator.
French W. investigator.
Mayer N. investigator.
Pugeda J. investigator.
Steel K. investigator.
Mody F. investigator.
Malik A. investigator.
Chandna H. investigator.
Go A. investigator.
Emlein G. investigator.
Bowden W. investigator.
Moscoso R. investigator.
Hodson R. investigator.
Berk M. investigator.
Pan D. investigator.
Pappas J. investigator.
Orchard R. investigator.
Lynchard G. investigator.
Vijay N. investigator.
Khan W. investigator.
El Khadra M investigator.
Antonishen M. investigator.
Cucher F. investigator.
Staab M. investigator.
Zebrack J. investigator.
Borromeo S investigator.
Heilman J. investigator.
Chaturvedi S. investigator.
Makam S. investigator.
Turk S. investigator.
Hyers T. investigator.
Williams G. investigator.
Labroo A. investigator.
Gill S. investigator.
Myears D. investigator.
Weinstein J. investigator.
Shanes J. investigator.
Chandrashekhar Y. investigator.
Shah S. investigator.
Reiter W. investigator.
Logemann T. investigator.
Almquist A. investigator.
Bhagwat R. investigator.
Tak T. investigator.
Shen‐Ling J. investigator.
Patel P. investigator.
Artis A. investigator.
Arouni A. investigator.
Lauer M. investigator.
Kinney K. investigator.
Elsen J. investigator.
Roan P. investigator.
Villafria R. investigator.
Sumpter M. investigator.
Ip J. investigator.
Welka S. investigator.
Schifferdecker B. investigator.
Sandoval R. investigator.
Speirs S. investigator.
Jones A. investigator.
Haldis T. investigator.
Kazmierski J. investigator.
Sutherland J. investigator.
Dietrich D. investigator.
Telfer E. investigator.
Berry J. investigator.
McElveen A. investigator.
Russell J. investigator.
Sackett M. investigator.
Antonios N. investigator.
Smith D. investigator.
Vora K. investigator.
Kirby A. investigator.
Lui H. investigator.
Mego D. investigator.
Ziada K. investigator.
Navas J. investigator.
Taussig A. investigator.
Koren M. investigator.
Vogel C. investigator.
Saba F. investigator.
Parrott C. investigator.
Schneider R. investigator.
Shirwany A. investigator.
Rubin M. investigator.
Treasure C investigator.
Bertolet B. investigator.
Chang M. investigator.
Langberg J. investigator.
Becker R. investigator.
Cohen Y. investigator.
McGrew F. investigator.
White J. investigator.
Arzola F. investigator.
Zelenka J. investigator.
Tannenbaum A. investigator.
Fernandes V. investigator.
Jamnadas P. investigator.
Agamasu J. investigator.
Collins B. investigator.
Jauch W. investigator.
Sasseen B. investigator.
Hotchkiss D. investigator.
Abadier R. investigator.
Osunkoya A. investigator.
Schlau A. investigator.
Chappel C. investigator.
Foster M. investigator.
Braun E. investigator.
Mostel E. investigator.
Capo J. investigator.
Ashchi M. investigator.
Howard V. investigator.
Albirini A. investigator.
Burger A. investigator.
Rolston D. investigator.
Staniloae C. investigator.
Bacon J. investigator.
Wiseman A. investigator.
McGarvey J investigator.
Sonel A. investigator.
Hamroff G. investigator.
Chang D. investigator.
Daboul N. investigator.
Broderick G. investigator.
Meholick A. investigator.
Corbelli J. investigator.
Silverman R. investigator.
Raffetto J. investigator.
Fishberg R. investigator.
Georgeson S. investigator.
Held J. investigator.
Seidner M. investigator.
Saint‐Jacques H. investigator.
Heitner J. investigator.
Kutalek S. investigator.
Friedlander I. investigator.
Hutchinson B. investigator.
Walia J. investigator.
Kondo N. investigator.
Smiley N. investigator.
Blitz L. investigator.
Dale H. investigator.
Sulman S. investigator.
Szulawski I. investigator.
Modares F. investigator.
Martin R. investigator.
Nahhas A. investigator.
Renzi M. investigator.
Akyea‐Djamson A. investigator.
Alfieri A. investigator.
Sandhu J. investigator.
Voyce S. investigator.
Amaram S. investigator.
Meyerrose G. investigator.
Shoukfeh M. investigator.
Lee F. investigator.
Villegas B. investigator.
Idowu O. investigator.
Khera A. investigator.
Sam C. investigator.
Vo A. investigator.
Lieber I. investigator.
Smith T. investigator.
Awan N. investigator.
Tsai C. investigator.
Ganim R. investigator.
Alzaghrini G. investigator.
Pitt W. investigator.
Shepherd A. investigator.
Tang S. investigator.
Stoltz S. investigator.
Nelson W. investigator.
Cox S. investigator.
Meymandi S. investigator.
Melucci M. investigator.
Thomas G. investigator.
Gogia H. investigator.
Machell C. investigator.
Chandrasekaran S. investigator.
Brown C. investigator.
Jetty P. investigator.
Miller G. investigator.
Dykstra G. investigator.
Jaffrani N. investigator.
Zakhary B. investigator.
Caruso A. investigator.
Zolty R. investigator.
Fox D. investigator.
Jacobs G. investigator.
Lebenthal M. investigator.
Mukherjee S. investigator.
Zimetbaum P. investigator.
Kingsley J. investigator.
Jones R. investigator.
Robinson V. investigator.
Kenton D. investigator.
Usedom J. investigator.
Williams S. investigator.
Snipes C. investigator.
Wilson V. investigator.
Hasty R. investigator.
Shoemaker J. investigator.
Donahue M. investigator.
Al‐Saghir Y. investigator.
Thomsen E. investigator.
Yarows S. investigator.
Chastain S. investigator.
McLaughlin P. investigator.
Wakham M. investigator.
Shrestha D. investigator.
Simmons J. investigator.
Fisher D. investigator.
Seymour Z. investigator.
Frandsen B. investigator.
First B. investigator.
Sharpe C. investigator.
Popeil L. investigator.
Guthrie R. investigator.
Hunter J. investigator.
Alvarado O. investigator.
Sandberg J. investigator.
Gutman N. investigator.
Belber A. investigator.
Arkhipov M. investigator.
Ballyzek M. investigator.
Baranov A. investigator.
Barbarash O. investigator.
Barbarich V. investigator.
Belenky D. investigator.
Berkovich O. investigator.
Bokarev I. investigator.
Boyarkin M. investigator.
Vaniev S. investigator.
Volkova E. investigator.
Gratsiansky N. investigator.
Demin A. investigator.
Zadionchenko V. investigator.
Zateyshchikov D. investigator.
Zrazhevsky K. investigator.
Mazaev V. investigator.
Martynov A. investigator.
Mikhailov S. investigator.
Mkrtchian V. investigator.
Novozhenov V. investigator.
Raskina T. investigator.
Rebrov A. investigator.
Sanina N. investigator.
Simanekov V. investigator.
Sitnikova M. investigator.
Smolenskaya O. investigator.
Stryuk R. investigator.
Storozhakov G. investigator.
Tankhilevich B. investigator.
Tereschenko S. investigator.
Khokhlov A. investigator.
Khrustalev O. investigator.
Chernov S. investigator.
Shvarts Y. investigator.
Shubik Y. investigator.
Shulman V. investigator.
Yakushin S. investigator.
Bugrova O. investigator.
Ivleva A. investigator.
Libis R. investigator.
Khozyainova N. investigator.
Maslov S. investigator.
Baranova E. investigator.
Sherenkov A. investigator.
Libov I. investigator.
Lusov V. investigator.
Chumakova G. investigator.
Kuznetsov V. investigator.
Ryamzina I. investigator.
Reshetko O. investigator.
Boldueva S. investigator.
Alekseeva N. investigator.
Novikova T. investigator.
Dvornikov V. investigator.
Idrisova E. investigator.
Shostak N. investigator.
Yarokhno N. investigator.
Tebloev K. investigator.
Treshkur T. investigator.
Mazurov V. investigator.
Loktin E. investigator.
Sedavnyh I. investigator.
Alexeeva O. investigator.
Yakhontova P. investigator.
Repin A. investigator.
Izmozherova N. investigator.
Kostenko V. investigator.
Fokin A. investigator.
Ketova G. investigator.
Kouz S. investigator.
Leader R. investigator.
Ayala‐Paredes F. investigator.
Luton R. investigator.
Ma P. investigator.
Pandey S. investigator.
Pesant Y. investigator.
Senior R. investigator.
Vertes G. investigator.
Bell A. investigator.
Crowley D. investigator.
Vizel S. investigator.
Lasko B. investigator.
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Berger L. investigator.
Heath J. investigator.
Bessoudo R. investigator.
Ling M. investigator.
Tellier G. investigator.
Berlingieri J. investigator.
Kafka H. investigator.
Hill L. investigator.
Mazza G. investigator.
O'Mahony W. investigator.
Chilvers M. investigator.
O'Mahony M. investigator.
Newman D. investigator.
Silagy S. investigator.
Heffernan M. investigator.
Bennett M. investigator.
Bhesania T. investigator.
Rockman G. investigator.
Ng K. investigator.
Kalra B. investigator.
Meneses G. investigator.
Liang W. investigator.
Cheung M. investigator.
Kozak J. investigator.
Pugen G. investigator.
Vavougios J. investigator.
Kates M. investigator.
Nunes‐Vaz C. investigator.
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Orfi J. investigator.
Faiers A. investigator.
Chung C. investigator.
Felsen S. investigator.
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Silver E. investigator.
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Reisler H. investigator.
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Maung T. investigator.
Wong F. investigator.
Gillis G. investigator.
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Coutu B. investigator.
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Cinteza M. investigator.
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Ionescu D. investigator.
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Radoi M. investigator.
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Dragulescu S. investigator.
Tudose A. investigator.
Militaru C. investigator.
Bengus C. investigator.
Ungureanu G. investigator.
Tau A. investigator.
Popa V. investigator.
Pirvu O. investigator.
Bojinca M. investigator.
Sipciu D. investigator.
Popescu M. investigator.
Chiru M. investigator.
Vinereanu D. investigator.
Tudoran M. investigator.
Cojocaru T. investigator.
Vintila M. investigator.
Aron G. investigator.
Petrascu O. investigator.
Bolohan F. investigator.
Baumgartner R. investigator.
Sekoranja L. investigator.
Vojacek J. investigator.
Lacnak B. investigator.
Kellnerova I. investigator.
Dunaj M. investigator.
Cihalik C. investigator.
Janota T. investigator.
Janousek J. investigator.
Bouchal P. investigator.
Spacek R. investigator.
Choi Siruckova J. investigator.
Heinc P. investigator.
Vojtisek P. investigator.
Pirchala M. investigator.
Malecha J. investigator.
Padour F. investigator.
Linhart A. investigator.
Mandysova E. investigator.
Jandik J. investigator.
Zidkova E. investigator.
Sipula D. investigator.
Ostadal P. investigator.
Polasek R. investigator.
Stransky V. investigator.
Marcinek G. investigator.
Rysava D. investigator.
Osmancik P. investigator.
Huber K. investigator.
Drexel H. investigator.
Brainin M. investigator.
Eichinger‐Hasenauer S. investigator.
Lang W. investigator.
Pilger E. investigator.
Moriarty A. investigator.
Hudson I. investigator.
Tang K. investigator.
Cleland J. investigator.
MacWalter R. investigator.
Cooke J. investigator.
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MacLeod M. investigator.
Murdoch D. investigator.
Kadr H. investigator.
Lip G. investigator.
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Hunt B. investigator.
Jackson P. investigator.
Roffe C. investigator.
Syed H. investigator.
Bath P. investigator.
Coyle J. investigator.
Kelly D. investigator.
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Jensen G. investigator.
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Dahlstrom C. investigator.
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Lindholm C. investigator.
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Nilsson C. investigator.
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Sirnes P. investigator.
Elle S. investigator.
Risberg K. investigator.
Furuseth K. investigator.
Skag A. investigator.
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Kjaernli T. investigator.
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Gradek G. investigator.
Drzewiecki A. investigator.
Pluta W. investigator.
Szwed H. investigator.
Trusz‐Gluza M. investigator.
Ogorek M. investigator.
Loboz‐Grudzien K. investigator.
Ruszkowski P. investigator.
Sciborski R. investigator.
Kopaczewski J. investigator.
Jaworska K. investigator.
Kubica J. investigator.
Opolski G. investigator.
Hoffman A. investigator.
Krzciuk M. investigator.
Sinkiewicz W. investigator.
Piotrowski W. investigator.
Kolodziej P. investigator.
Goszczynska M. investigator.
Rynkiewicz A. investigator.
Chojnowska L. investigator.
Lewczuk J. investigator.
Biedrzycka M. investigator.
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Kowal J. investigator.
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Pruszczyk P. investigator.
Tendera M. investigator.
Gaciong Z. investigator.
Krzeminska‐Pakula M. investigator.
Kornacewicz‐Jach Z. investigator.
Kania G. investigator.
Brachmann J. investigator.
Lawall H. investigator.
Guelker H. investigator.
Spitzer S. investigator.
MoebiusWinkler S. investigator.
Dempfle C. investigator.
Bode C. investigator.
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Genth‐Zotz S. investigator.
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Roehnisch J. investigator.
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Daenschel W. investigator.
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vom Dahl J investigator.
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Behrens‐Humbold S. investigator.
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Ebert H. investigator.
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Claus G. investigator.
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Lange R. investigator.
Gabelmann M. investigator.
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Doerr M. investigator.
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Bosch R. investigator.
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Omran H. investigator.
Leicht M. investigator.
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Dieckmann H. investigator.
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Bernhardt P. investigator.
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Seidl K. investigator.
Schellong S. investigator.
Rios C. investigator.
Guevara C. investigator.
Coloma R. investigator.
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Parra Galvan J. investigator.
Drago Silva J. investigator.
Gallegos J. investigator.
Mendoza A. investigator.
Negron S. investigator.
Watanabe L. investigator.
Medina F. investigator.
Virgen Carrilo L. investigator.
Alvarez Lopez H. investigator.
Rodriguez I. investigator.
Leiva‐Pons J. investigator.
Baños Velasco A. investigator.
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De los Rios M investigator.
Gamba M. investigator.
Llamas Esperon G. investigator.
Villeda E. investigator.
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Alvariqueta A. investigator.
Amuchastegui M. investigator.
Bluguermann J. investigator.
Caime G. investigator.
Cuneo C. investigator.
Gabito A. investigator.
Garcia Brasca D. investigator.
Hominal M. investigator.
Jure H. investigator.
Luquez H. investigator.
Montana O. investigator.
Piskorz D. investigator.
Listorti S. investigator.
Serra J. investigator.
Sessa H. investigator.
Varini S. investigator.
Vita N. investigator.
Aiub J. investigator.
MacKinnon I. investigator.
Chekherdemian S. investigator.
Castagnino J. investigator.
Cimbaro Canella J. investigator.
Sgammini H. investigator.
Escudero A. investigator.
Albina G. investigator.
Rapallo C. investigator.
Balparda C. investigator.
Chahin M. investigator.
Fuentealba V. investigator.
Riccitelli M. investigator.
Casabe J. investigator.
Lobo Marquez L. investigator.
Kevorkian R. investigator.
Cuadrado J. investigator.
Dran R. investigator.
Muntaner J. investigator.
Gonzalez M. investigator.
Cartasegna L. investigator.
Hasbani E. investigator.
Hrabar A. investigator.
Sanchez A. investigator.
Vogel D. investigator.
Hershson A. investigator.
Avezum A. investigator.
Jaber J. investigator.
Ernesto Leaes P. investigator.
Bozza A. investigator.
Lorga Filho A. investigator.
Pimentel Filho P. investigator.
Moura Jorge J. investigator.
Maia L. investigator.
Manenti E. investigator.
D'Aurea Mora R investigator.
de Souza Neto J investigator.
Precoma D. investigator.
Rabelo A. investigator.
Rocha J. investigator.
Rossi P. investigator.
Kerr Saraiva J. investigator.
Zimerman L. investigator.
Bodanese L. investigator.
Figueiredo E. investigator.
de Souza W. Sebba Barroso investigator.
Braga J. investigator.
Alessi S. investigator.
Gomes M. investigator.
Silva R. investigator.
Teixeira M. investigator.
Costa F. investigator.
Motta M. investigator.
Sobral Filho D. investigator.
Reis G. investigator.
Garbelini B investigator.
Zimmermann S. investigator.
Pereira Barretto A. investigator.
Dohmann H. investigator.
Barreto Filho J. investigator.
Ghorayeb N. investigator.
Borelli F. investigator.
Rossi dos Santos F. investigator.
Lopes Prudente M. investigator.
Vejar M. investigator.
Lanas F. investigator.
Del Pino R. investigator.
Potthoff S. investigator.
Charme G. investigator.
Aguirre A. investigator.
Saldana A. investigator.
Garces E. investigator.
Bunster L. investigator.
Figueroa H. investigator.
Olivares C. investigator.
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… (more) - Abstract:
- Abstract : Background: Atrial fibrillation is associated with higher mortality. Identification of causes of death and contemporary risk factors for all‐cause mortality may guide interventions. Methods and Results: In the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) study, patients with nonvalvular atrial fibrillation were randomized to rivaroxaban or dose‐adjusted warfarin. Cox proportional hazards regression with backward elimination identified factors at randomization that were independently associated with all‐cause mortality in the 14 171 participants in the intention‐to‐treat population. The median age was 73 years, and the mean CHADS2 score was 3.5. Over 1.9 years of median follow‐up, 1214 (8.6%) patients died. Kaplan–Meier mortality rates were 4.2% at 1 year and 8.9% at 2 years. The majority of classified deaths (1081) were cardiovascular (72%), whereas only 6% were nonhemorrhagic stroke or systemic embolism. No significant difference in all‐cause mortality was observed between the rivaroxaban and warfarin arms ( P =0.15). Heart failure (hazard ratio 1.51, 95% CI 1.33–1.70, P <0.0001) and age ≥75 years (hazard ratio 1.69, 95% CI 1.51–1.90, P <0.0001) were associated with higher all‐cause mortality. Multiple additional characteristics were independently associated with higher mortality, with decreasing creatinine clearance, chronic obstructiveAbstract : Background: Atrial fibrillation is associated with higher mortality. Identification of causes of death and contemporary risk factors for all‐cause mortality may guide interventions. Methods and Results: In the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation (ROCKET AF) study, patients with nonvalvular atrial fibrillation were randomized to rivaroxaban or dose‐adjusted warfarin. Cox proportional hazards regression with backward elimination identified factors at randomization that were independently associated with all‐cause mortality in the 14 171 participants in the intention‐to‐treat population. The median age was 73 years, and the mean CHADS2 score was 3.5. Over 1.9 years of median follow‐up, 1214 (8.6%) patients died. Kaplan–Meier mortality rates were 4.2% at 1 year and 8.9% at 2 years. The majority of classified deaths (1081) were cardiovascular (72%), whereas only 6% were nonhemorrhagic stroke or systemic embolism. No significant difference in all‐cause mortality was observed between the rivaroxaban and warfarin arms ( P =0.15). Heart failure (hazard ratio 1.51, 95% CI 1.33–1.70, P <0.0001) and age ≥75 years (hazard ratio 1.69, 95% CI 1.51–1.90, P <0.0001) were associated with higher all‐cause mortality. Multiple additional characteristics were independently associated with higher mortality, with decreasing creatinine clearance, chronic obstructive pulmonary disease, male sex, peripheral vascular disease, and diabetes being among the most strongly associated (model C‐index 0.677). Conclusions: In a large population of patients anticoagulated for nonvalvular atrial fibrillation, ≈7 in 10 deaths were cardiovascular, whereas <1 in 10 deaths were caused by nonhemorrhagic stroke or systemic embolism. Optimal prevention and treatment of heart failure, renal impairment, chronic obstructive pulmonary disease, and diabetes may improve survival. Clinical Trial Registration: URL:https://www.clinicaltrials.gov/ . Unique identifier: NCT00403767. … (more)
- Is Part Of:
- Journal of the American Heart Association. Volume 5:Issue 3(2016)
- Journal:
- Journal of the American Heart Association
- Issue:
- Volume 5:Issue 3(2016)
- Issue Display:
- Volume 5, Issue 3 (2016)
- Year:
- 2016
- Volume:
- 5
- Issue:
- 3
- Issue Sort Value:
- 2016-0005-0003-0000
- Page Start:
- n/a
- Page End:
- n/a
- Publication Date:
- 2016-03-08
- Subjects:
- atrial fibrillation -- mortality -- rivaroxaban -- stroke -- warfarin
Heart -- Diseases -- Periodicals
Cardiovascular system -- Diseases -- Periodicals
Cerebrovascular disease -- Periodicals
Cardiology -- Periodicals
616.1 - Journal URLs:
- http://jaha.ahajournals.org ↗
http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)2047-9980 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1161/JAHA.115.002197 ↗
- Languages:
- English
- ISSNs:
- 2047-9980
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 11716.xml