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Rationale and design of the RE-LATED AF—AFNET 7 trial: REsolution of Left atrial-Appendage Thrombus—Effects of Dabigatran in patients with Atrial Fibrillation

Overview of attention for article published in Clinical Research in Cardiology, June 2015
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Title
Rationale and design of the RE-LATED AF—AFNET 7 trial: REsolution of Left atrial-Appendage Thrombus—Effects of Dabigatran in patients with Atrial Fibrillation
Published in
Clinical Research in Cardiology, June 2015
DOI 10.1007/s00392-015-0883-7
Pubmed ID
Authors

Marion Ferner, Daniel Wachtlin, Torsten Konrad, Oliver Deuster, Thomas Meinertz, Stephan von Bardeleben, Thomas Münzel, Monika Seibert-Grafe, Günter Breithardt, Thomas Rostock

Abstract

Dabigatran etexilate, a direct thrombin inhibitor and non-vitamin K antagonist oral anticoagulant (NOAC), has been shown to effectively prevent thromboembolic events in patients with non-valvular atrial fibrillation (AF). However, there is a paucity of data on the antithrombotic efficacy and safety of dabigatran in the resolution of left atrial appendage (LAA) thrombi in AF patients. The primary objective of the RE-LATED AF trial is to assess whether dabigatran results in a faster complete LAA thrombus resolution as compared to vitamin K antagonist phenprocoumon. Secondary objectives are to assess the impact of dabigatran on complete LAA thrombus resolution rate within 6 weeks of treatment and change in LAA thrombus volume under treatment. Furthermore, this study aims to assess and compare safety and tolerability of dabigatran vs. phenprocoumon. The study is designed as a prospective, randomized, open-label, controlled, explorative, blinded endpoint (PROBE) trial. Patients with AF and left atrial appendage thrombus confirmed by transoesophageal echocardiography (TEE) will be randomized to receive either dabigatran (150 mg bid) or phenprocoumon (INR 2-3) for the resolution of LAA thrombus formation for at least 21 days. Thrombus resolution will be determined by TEE 3 weeks after treatment initiation and subsequently at weeks 4 and 6, if the LAA thrombus has not been resolved before. A total of 110 patients are planned to be randomized. This is the first prospective, multicentre, randomized controlled clinical trial investigating safety and efficacy of a NOAC for the resolution of LAA thrombi in patients with non-valvular AF.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Slovenia 1 2%
Unknown 65 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 18%
Researcher 9 14%
Student > Bachelor 6 9%
Student > Doctoral Student 4 6%
Other 3 5%
Other 10 15%
Unknown 22 33%
Readers by discipline Count As %
Medicine and Dentistry 28 42%
Pharmacology, Toxicology and Pharmaceutical Science 9 14%
Economics, Econometrics and Finance 2 3%
Nursing and Health Professions 1 2%
Neuroscience 1 2%
Other 1 2%
Unknown 24 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 July 2015.
All research outputs
#18,418,694
of 22,816,807 outputs
Outputs from Clinical Research in Cardiology
#643
of 811 outputs
Outputs of similar age
#189,531
of 263,898 outputs
Outputs of similar age from Clinical Research in Cardiology
#7
of 11 outputs
Altmetric has tracked 22,816,807 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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