Clinical Survey on the Stroke Prevention in Atrial Fibrillation in Asia
NCT04807049 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 4504
Last updated 2021-03-19
Summary
Despite relatively lower prevalence of atrial fibrillation (AF) in Asians (\~1%) than Caucasians (\~2%) as reported in observational studies, Asia has a much higher overall disease burden, due to its proportionally larger aged population. Based on reported prevalence rates and projected population figures in Asia, there will be an estimated 49 million men and 23 million women with AF, by year 2050. Stroke is a disabling complication of AF that is of particular cause for concern in Asians patients. Implementing consensus expert recommendations for managing stroke risk in AF patients can considerably reduce stroke rates. However, caution is necessary when aligning management of Asian AF patients to that of their Caucasian counterparts. Current international guidelines and risk stratification tools for AF management are based on findings in predominantly Caucasian populations and may therefore have limited relevance, in certain respects, to Asian patients. The vitamin K antagonist (VKA), warfarin and alternative new oral anticoagulants, direct thrombin inhibitors or factor Xa inhibitors is recommended for reducing the risk of stroke and thromboembolism in high-risk patients with non-valvular AF. However, there is very limited information about the safety and efficacy of those agents in Asian population. Therefore, further research is urgently needed to inform specific guidance on the implications of different stroke and bleeding profiles in Asians versus Caucasians. In order to allow comparison between Asians versus Caucasians population, we propose to adopt the current study protocol and case report form of the EurObservational Research Programme on Atrial Fibrillation General Long-Term study.
Conditions
Interventions
- OTHER
-
Observational
Observational
Sponsors & Collaborators
-
Asia Pacific Heart Rhythm Society (APHRS)
collaborator UNKNOWN -
The University of Hong Kong
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2019-06-30
- Completion
- 2021-03-31
Countries
- China
- Singapore
Study Locations
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