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First Reported Case of Hemopericardium Related to Dabigatran Use Reversed by New Antidote Idarucizumab
Dabigatran, the first novel oral anticoagulant (NOAC) with a reversal agent, heralded a paradigm shift in the treatment of nonvalvular atrial fibrillation. The potential for life-threatening hemorrhagic events with the use of NOACs has been highly debated since the effectiveness of reversal agents s...
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Published in: | Case reports in cardiology 2017-01, Vol.2017 (2017), p.1-3 |
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container_issue | 2017 |
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container_title | Case reports in cardiology |
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creator | Salciccioli, Louis Meade, Matthew Goulbourne, Clive Cook, Joselle Song, Steven Lazar, Jason M. |
description | Dabigatran, the first novel oral anticoagulant (NOAC) with a reversal agent, heralded a paradigm shift in the treatment of nonvalvular atrial fibrillation. The potential for life-threatening hemorrhagic events with the use of NOACs has been highly debated since the effectiveness of reversal agents such as idarucizumab is based primarily on pharmacologic data. It is known that cancer patients are at an increased risk of bleeding with anticoagulation, though specific studies demonstrating the risks or efficacy of NOACs in this population are lacking. We provide the first report of hemopericardium resulting in multiorgan failure related to dabigatran use that was successfully reversed by idarucizumab in a man with prostate cancer on chemotherapy. |
doi_str_mv | 10.1155/2017/6458636 |
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The potential for life-threatening hemorrhagic events with the use of NOACs has been highly debated since the effectiveness of reversal agents such as idarucizumab is based primarily on pharmacologic data. It is known that cancer patients are at an increased risk of bleeding with anticoagulation, though specific studies demonstrating the risks or efficacy of NOACs in this population are lacking. We provide the first report of hemopericardium resulting in multiorgan failure related to dabigatran use that was successfully reversed by idarucizumab in a man with prostate cancer on chemotherapy.</description><identifier>ISSN: 2090-6404</identifier><identifier>EISSN: 2090-6412</identifier><identifier>DOI: 10.1155/2017/6458636</identifier><identifier>PMID: 28695019</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Anticoagulants ; Blood ; Cardiac arrhythmia ; Case Report ; Chemotherapy ; Clinical trials ; Drug dosages ; Glycoproteins ; Hemorrhage ; Laboratories ; Neutropenia ; Patients ; Pneumonia ; Tomography ; Ultrasonic imaging</subject><ispartof>Case reports in cardiology, 2017-01, Vol.2017 (2017), p.1-3</ispartof><rights>Copyright © 2017 Steven Song et al.</rights><rights>Copyright © 2017 Steven Song et al. 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subjects | Anticoagulants Blood Cardiac arrhythmia Case Report Chemotherapy Clinical trials Drug dosages Glycoproteins Hemorrhage Laboratories Neutropenia Patients Pneumonia Tomography Ultrasonic imaging |
title | First Reported Case of Hemopericardium Related to Dabigatran Use Reversed by New Antidote Idarucizumab |
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