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antithrombotics in heart failure for all type of patients, clinical trials results

aspirin versus no treatment
WASH (aspirin), 2004
aspirin 300 mg/day
versus
no treatment
patients with heart failure and left ventricular systolic dysfunction requiring diuretic therapy with LVEF<=35% open
Follow-up duration: 27 months
UK, US
aspirin versus placebo
Barzizza (ASA), 1993
aspirin 300mg
versus
placebo
patients with dilated cardiomyopathy and evidence of intraventricular thrombiNA
Follow-up duration: 6 months
rivaroxaban versus placebo
COMMANDER HF, 2018
NCT01877915
rivaroxaban at a dose of 2.5 mg twice daily
versus
placebo
patients who had chronic heart failure, a left ventricular ejection fraction of 40% or less, coronary artery disease, and elevated plasma concentrations of natriuretic peptides and who did not have atrial fibrillation
Follow-up duration: 21.1 months
warfarin versus aspirin
HELAS (warfarin vs aspirin), 2006
warfarin
versus
aspirin 325mg/d
HF related to ischemic heart disease with LVFE<35%Double blind
Follow-up duration: 21.9 months
Europe
WATCH (warfarin vs aspirin), 2009
NCT00007683
warfarin (target INR 2.5-3.0)
versus
aspirin 162 mg daily
symptomatic heart failure patients in sinus rhythm with ejection fractions 35% taking angiotensin-converting enzyme inhibitors (unless not tolerated) and diureticsopen
warfarin versus no treatment
WASH (warfarin), 2004
warfarin (target INR 2.5)
versus
no treatment
patients with heart failure and left ventricular systolic dysfunction requiring diuretic therapy with LVEF<=35%open
Follow-up duration: 27 months
UK, US
warfarin versus placebo
HELAS (warfarin vs placebo), 2006
warfarin (target INR of 2–3)
versus
placebo
HF due to dilated cardiomyopathy double blind
Follow-up duration: 21.9 months
Europe
Barzizza (warfarin), 1993
warfarin to maintain INR between 2 and 3
versus
placebo
patients with dilated cardiomyopathy and evidence of intraventricular thrombi NA
Follow-up duration: 6 months

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