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Review Open Access

Current status of rivaroxaban in elderly patients with pulmonary embolism (Review)

  • Authors:
    • Zi‑Kai Song
    • Hongyan Cao
    • Haidi Wu
    • Qi Wei
    • Minglong Tang
    • Shuo Yang
    • Yang Liu
    • Ling Qin
  • View Affiliations / Copyright

    Affiliations: Department of Cardiology, The First Hospital of Jilin University, Changchun, Jilin 130000, P.R. China
    Copyright: © Song et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 2817-2825
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    Published online on: February 26, 2020
       https://doi.org/10.3892/etm.2020.8559
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Abstract

Acute pulmonary embolism (PE) occurs with a high incidence rate in elderly patients, demonstrating complex clinical manifestations, as well as a difficult anticoagulant treatment strategy. Currently, there is limited understanding of the selection criteria for anticoagulant treatment in elderly patients with PE. In fact, the vitamin K antagonist warfarin, a commonly prescribed anticoagulant, has multiple disadvantages, including a narrow therapeutic range, unpredictable pharmacokinetics, multiple food and drug interactions and genetic polymorphisms resulting in poor response to this therapy; therefore, routine laboratory monitoring is required. Most elderly patients with PE fail to adhere to the treatment regimen or even discontinue it, and clinicians are equally hesitant to initiate oral anticoagulants in elderly patients with PE. This leads to a dilemma regarding the use of anticoagulation therapies and a worse prognosis for the patients. Rivaroxaban, a direct Xa factor inhibitor, has demonstrated considerable practical and clinical advantages, exhibits fast‑start action pharmacokinetic and pharmacodynamic characteristics, and has an enhanced predictable anticoagulant effect with fewer drug‑drug interactions. Based on randomized controlled trials and real‑world clinical practice, rivaroxaban has also been recognized as a safe and effective anticoagulant, and these advantages have improved the therapeutic compliance of elderly patients with PE. Thus, this review focused on the current status of rivaroxaban treatment for elderly patients with PE, and described its significance in changing the current anticoagulation treatment regimens for patients. It is expected that rivaroxaban will become a good choice for the treatment of PE in elderly patients.
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Copy and paste a formatted citation
Spandidos Publications style
Song ZK, Cao H, Wu H, Wei Q, Tang M, Yang S, Liu Y and Qin L: Current status of rivaroxaban in elderly patients with pulmonary embolism (Review). Exp Ther Med 19: 2817-2825, 2020.
APA
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S. ... Qin, L. (2020). Current status of rivaroxaban in elderly patients with pulmonary embolism (Review). Experimental and Therapeutic Medicine, 19, 2817-2825. https://doi.org/10.3892/etm.2020.8559
MLA
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S., Liu, Y., Qin, L."Current status of rivaroxaban in elderly patients with pulmonary embolism (Review)". Experimental and Therapeutic Medicine 19.4 (2020): 2817-2825.
Chicago
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S., Liu, Y., Qin, L."Current status of rivaroxaban in elderly patients with pulmonary embolism (Review)". Experimental and Therapeutic Medicine 19, no. 4 (2020): 2817-2825. https://doi.org/10.3892/etm.2020.8559
Copy and paste a formatted citation
x
Spandidos Publications style
Song ZK, Cao H, Wu H, Wei Q, Tang M, Yang S, Liu Y and Qin L: Current status of rivaroxaban in elderly patients with pulmonary embolism (Review). Exp Ther Med 19: 2817-2825, 2020.
APA
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S. ... Qin, L. (2020). Current status of rivaroxaban in elderly patients with pulmonary embolism (Review). Experimental and Therapeutic Medicine, 19, 2817-2825. https://doi.org/10.3892/etm.2020.8559
MLA
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S., Liu, Y., Qin, L."Current status of rivaroxaban in elderly patients with pulmonary embolism (Review)". Experimental and Therapeutic Medicine 19.4 (2020): 2817-2825.
Chicago
Song, Z., Cao, H., Wu, H., Wei, Q., Tang, M., Yang, S., Liu, Y., Qin, L."Current status of rivaroxaban in elderly patients with pulmonary embolism (Review)". Experimental and Therapeutic Medicine 19, no. 4 (2020): 2817-2825. https://doi.org/10.3892/etm.2020.8559
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