학술논문

Antithrombotic Treatment of Embolic Stroke of Undetermined Source
Document Type
article
Source
Stroke. 51(6)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Prevention
Brain Disorders
Clinical Trials and Supportive Activities
Stroke
Hematology
Clinical Research
Evaluation of treatments and therapeutic interventions
6.1 Pharmaceuticals
Aged
Aged
80 and over
Aspirin
Dabigatran
Double-Blind Method
Female
Fibrinolytic Agents
Humans
Intracranial Embolism
Kidney Diseases
Male
Middle Aged
Recurrence
anticoagulants
atrial fibrillation
cardiovascular disease
risk factors
secondary prevention
Cardiorespiratory Medicine and Haematology
Neurosciences
Neurology & Neurosurgery
Clinical sciences
Allied health and rehabilitation science
Language
Abstract
Background and Purpose- The RE-SPECT ESUS trial (Randomized, Double-Blind, Evaluation in Secondary Stroke Prevention Comparing the Efficacy and Safety of the Oral Thrombin Inhibitor Dabigatran Etexilate Versus Acetylsalicylic Acid in Patients With Embolic Stroke of Undetermined Source) tested the hypothesis that dabigatran would be superior to aspirin for the prevention of recurrent stroke in patients with embolic stroke of undetermined source. This exploratory subgroup analysis investigates the impact of age, renal function (both predefined), and dabigatran dose (post hoc) on the rates of recurrent stroke and major bleeding. Methods- RE-SPECT ESUS was a multicenter, randomized, double-blind trial of dabigatran 150 or 110 mg (for patients aged ≥75 years and/or with creatinine clearance 30 to