Meta AnalysisID 5464

直接口服抗凝药对比维生素K拮抗剂对左心室血栓的疗效与安全性:一项更新的系统评价与Meta分析

CRD42022324075

How does efficacy and safety of direct oral anticoagulants versus vitamin K antagonists for the treatment of left ventricular thrombus?

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Record Fields

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Meta Analysis Id
5464
Evidence Id
14022
Core Evidence Id
14022
Source Meta Analysis Id
5447
Herb2 Meta Analysis Id
HBMA005447
Crd Id
CRD42022324075
Title
Efficacy and safety of direct oral anticoagulants versus vitamin K antagonists for left ventricular thrombus: an updated systematic review and meta-analysis
Review Question
How does efficacy and safety of direct oral anticoagulants versus vitamin K antagonists for the treatment of left ventricular thrombus?
Study Type Included
We will include randomised and observational studies to compare the outcomes associated with direct oral anticoagulants use and vitamin K antagonists use for the treatment of LV thrombi.
Condition Being Studied
Left ventricular thrombus. Stroke. Systemic embolization. Bleeding.
Participant
Inclusion: Adults with left ventricular thrombus. Exclusion: Adolescents (under 18 years of age).
Animal
Human Disease Modelled
Intervention
Although vitamin K antagonists are recommended as first‐line anticoagulants for patients with left ventricular thrombus, accumulating evidence suggests direct oral anticoagulants could be a safe alternative. Efficacy and safety of direct oral anticoagulants should be assessed to justify their usage in this population.
Comparator Control
Standard care: vitamin K antagonists-only. Comparator care: direct oral anticoagulants-only.
Main Outcome
The primary efficacy outcome was stroke or systemic embolism event rate, and the primary safety outcome was bleeding.
Outcome Measure
Additional Outcome
The secondary efficacy outcome was LV trombi resolution rate. Measures of effect Odds ratios.
Study Method
Meta-analysis, Systematic review
Keyword
Anticoagulants; Humans; Thrombosis; Vitamin K
Contact
Ruzina Evgeniya [email protected]
Organisational Affiliation
A.N. Bakoulev National medical research center for cardiovascular surgery of Ministry of Health of the Russian Federation, Moscow Russian Federation www.bakulev.ru
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English, Russian
Country
Russian Federation
Review Stage
Review Ongoing
First Submission Date
2022-04-08
Registration Date
2022-05-09
Anticipated Start Date
2022-04-08
Anticipated Completion Date
2022-06-08
Title Cn
直接口服抗凝药对比维生素K拮抗剂对左心室血栓的疗效与安全性:一项更新的系统评价与Meta分析
Title En
Efficacy and safety of direct oral anticoagulants versus vitamin K antagonists for left ventricular thrombus: an updated systematic review and meta-analysis
Bilingual Status
complete