title: [ANMCO Position paper: Direct new oral anticoagulants for the prevention of thromboembolic complications in patients with atrial fibrillation: clinical scenarios and future perspectives].
abstract: It is now 4 years since the introduction of the new direct oral anticoagulants into clinical practice. Therefore, the Italian Association of Hospital Cardiologists (ANMCO) has deemed necessary to update the previous position paper on the prevention of thromboembolic complications in patients with non-valvular atrial fibrillation, which was published in 2013. All available scientific evidence has been reviewed, focusing on data derived from both clinical trials and observational registries. In addition, all issues relevant to the practical clinical management of oral anticoagulation with the new direct inhibitors have been considered. Specific clinical pathways for optimal use of oral anticoagulation with the new directly acting agents are also developed and proposed for clinical implementation. Special attention is finally paid to the development of clinical algorithms for medium and long-term follow-up of patients treated with new oral direct anticoagulants.
authors.affiliation: S.O.C. Cardiologia, Ospedale Castelli, Verbania.
authors.forename: Federico
authors.initials: F
authors.lastname: Nardi
authors.affiliation: U.O.C. Cardiologia, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania.
authors.forename: Michele Massimo
authors.initials: MM
authors.lastname: Gulizia
authors.affiliation: U.O.C. Cardiologia-UTIC, Presidio Ospedaliero San Filippo Neri, Roma.
authors.forename: Furio
authors.initials: F
authors.lastname: Colivicchi
authors.affiliation: U.O.C. Cardiologia-UTIC, Ospedale Civile Sant'Antonio Abate, Erice (TP).
authors.forename: Maurizio Giuseppe
authors.initials: MG
authors.lastname: Abrignani
authors.affiliation: U.O.C. Cardiologia-UTIC, Presidio Ospedaliero San Filippo Neri, Roma.
authors.forename: Stefania Angela
authors.initials: SA
authors.lastname: Di Fusco
authors.affiliation: S.C. Centro Cardiovascolare, Azienda Sanitaria Universitaria Integrata, Trieste.
authors.forename: Andrea
authors.initials: A
authors.lastname: Di Lenarda
authors.affiliation: U.O. Cardiologia, Istituti Ospitalieri, Cremona.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Di Tano
authors.affiliation: U.O. Cardiologia, Istituti Ospitalieri, Cremona.
authors.forename: Luigi
authors.initials: L
authors.lastname: Moschini
authors.affiliation: Prevenzione e Riabilitazione Cardiopatico, A.O. Sant'Anna e San Sebastiano, Caserta.
authors.forename: Carmine
authors.initials: C
authors.lastname: Riccio
authors.affiliation: Medicina Interna, Ospedale di Assisi, Assisi (PG).
authors.forename: Paolo
authors.initials: P
authors.lastname: Verdecchia
authors.affiliation: U.O.C. Medicina d'Urgenza, A.O.R.N. S. Anna e S. Sebastiano, Caserta.
authors.forename: Iolanda
authors.initials: I
authors.lastname: Enea
mesh_terms: D000284:Administration, Oral; D000925:Anticoagulants / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000150:complications*; D006801:Humans; D007558:Italy; D020521:Stroke; D013923:Thromboembolism / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants