How to effectively reverse life-thretening effects of non-vitamin K oral anticoagulants?

For several decades the vitamin K antagonist oral anticoagulants were the only outpatient therapy that existed to reduce the risk of stroke and thromboembolism until non-vitamin K oral anticoagulants (NOACs). Direct thrombin inhibitor: dabigatran and factor Xa inhibitors: apixaban, rivaroxaban, and...

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Hoofdauteurs: Łukasz Wołowiec (Auteur), Joanna Banach (Auteur), Daniel Rogowicz (Auteur), Magdalena Węglarz (Auteur), Walery Zukow (Auteur), Władysław Sinkiewicz (Auteur)
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Gepubliceerd in: Kazimierz Wielki University, 2017-02-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Łukasz Wołowiec  |e author 
700 1 0 |a Joanna Banach  |e author 
700 1 0 |a Daniel Rogowicz  |e author 
700 1 0 |a Magdalena Węglarz  |e author 
700 1 0 |a Walery Zukow  |e author 
700 1 0 |a Władysław Sinkiewicz  |e author 
245 0 0 |a How to effectively reverse life-thretening effects of non-vitamin K oral anticoagulants? 
260 |b Kazimierz Wielki University,   |c 2017-02-01T00:00:00Z. 
500 |a 2391-8306 
520 |a For several decades the vitamin K antagonist oral anticoagulants were the only outpatient therapy that existed to reduce the risk of stroke and thromboembolism until non-vitamin K oral anticoagulants (NOACs). Direct thrombin inhibitor: dabigatran and factor Xa inhibitors: apixaban, rivaroxaban, and edoxaban directly inhibit the coagulation cascade. DOACs have many advantages over warfarin. In general, the new agents have similar or lower bleeding risk than vitamin K antagonists, especially risk of intracranial bleeding. However, the biggest drawback of DOACs has been the lack of specific antidotes to reverse the anticoagulant effect in emergency situations. New specific antidotes (idarucizumab, andexanet alfa, and ciraparantag) show promising data, and may soon become available for clinical use. In this article, we review the pharmacology of these agents, outcomes of their use, and the more recent advances for the development of specific antidotes. 
546 |a EN 
546 |a ES 
546 |a PL 
546 |a RU 
546 |a UK 
690 |a anticoagulation 
690 |a non-vitamin K oral anticoagulants 
690 |a new oral anticoagulants 
690 |a idarucizumab 
690 |a Education 
690 |a L 
690 |a Sports 
690 |a GV557-1198.995 
690 |a Medicine 
690 |a R 
655 7 |a article  |2 local 
786 0 |n Journal of Education, Health and Sport, Vol 7, Iss 3 (2017) 
787 0 |n https://apcz.umk.pl/JEHS/article/view/24193 
787 0 |n https://doaj.org/toc/2391-8306 
856 4 1 |u https://doaj.org/article/5e9f897ba95e4a08b708d9f0b57f2fcd  |z Connect to this object online.