TY  - JOUR
TI  - ReAl-life Multicenter Survey Evaluating Stroke prevention strategies in non-valvular atrial fibrillation (RAMSES study)
AB  - Objective: Data regarding stroke prevention strategies in non-valvular atrial fibrillation (NVAF) are limited to vitamin K antagonists (VKAs). This study aimed to evaluate real-life stroke prevention strategies for NVAF patients in the era of non-VKA oral anticoagulants (NOACs).Methods: We established a cross-sectional, multicenter, nationwide registry of NVAF patients. All consecutive atrial fibrillation (AF) patients and without mechanical heart valves or rheumatic mitral stenosis (but including those with any degree of mitral regurgitation) were enrolled in the ReAl-life Multicenter Survey Evaluating Stroke Prevention Strategies (RAMSES Study; ClinicalTrials.gov identifier NCT02344901) in Turkey. Baseline demographic data, medical history, and medications prescribed for NVAF treatment were collected. Univariate analyses were performed for continuous variables, and the chi-square test was used for categorical variables.Results: In total, 6273 patients from 29 provinces of Turkey were enrolled in the study between February and May 2015, with the contribution of 83 investigators. The mean age was 69.6±10.7 years; 56% of the patients were females, and one-fifth of the patients had at least one comorbid disease, the most common being hypertension (69%). The mean CHADS-VASc and HAS-BLED scores were 3.3±1.6 and 1.6±1.1, respectively. The rate of oral anticoagulant (OAC) therapy use was 72% (37% NOAC and 35% VKA).Conclusion: The RAMSES study showed a higher prevalence of OAC use among NVAF patients than that reported in previous studies. Although NOACs were preferred over VKAs in daily cardiology practice, there is a need for improved OAC therapies for NVAF patients
AU  - BİTEKER, MURAT
AU  - Beton, Osman
AU  - Kalçık, Macit
AU  - KIRMA, Cevat
AU  - TEKİNALP, MEHMET
AU  - Bolat, İsmail
AU  - ŞAFAK, Özgen
AU  - ALTUN, İbrahim
AU  - Yaman, Mehmet
AU  - Kalaycıoğlu, Ezgi
AU  - Tasar, Onur
AU  - AYKAN, Ahmet Çağrı
AU  - doğan, volkan
AU  - basaran, ozcan
AU  - soylu, mustafa
PY  - 2016
JO  - The Anatolian Journal of Cardiology
VL  - 16
IS  - 10
SN  - 2149-2263
SP  - 734
EP  - 741
DB  - TRDizin
UR  - http://search/yayin/detay/223725
ER  -