title: Rivaroxaban Rebound Acute Coronary Event: A Post Marketing Experience.
abstract: We present a 65-year-old male who received rivaroxaban therapy prior to and after left knee replacement surgery. The patient developed generalized weakness soon after stopping rivaroxaban. An electrocardiogram showed acute infero-lateral ischemia and an echocardiogram reported an akinetic antero-apical wall segment, an apical clot and a reduced systolic function. A subsequent coronary angiogram revealed two-vessel coronary artery thrombosis. The case illustrates a temporal relationship of coronary thrombosis following rivaroxaban cessation.
authors.affiliation: Cardiology Division, Department of Internal Medicine at Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Cardiology Department, Dayton VA Medical Center, Dayton, OH, USA.
authors.forename: Ajay
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Cardiology Division, Department of Internal Medicine at Wright State University Boonshoft School of Medicine, Dayton, OH, USA; Cardiology Department, Dayton VA Medical Center, Dayton, OH, USA.
authors.forename: Amish
authors.initials: A
authors.lastname: Patel
authors.affiliation: Cardiology Division, Department of Internal Medicine at Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Mufti
authors.affiliation: Cardiology Division, Department of Internal Medicine at Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Yaser
authors.initials: Y
authors.lastname: Jbara
authors.affiliation: Cardiology Division, Department of Internal Medicine at Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
authors.forename: Ali Abdul
authors.initials: AA
authors.lastname: Jabbar
keywords: Acute coronary syndrome; Anticoagulation; Rivaroxaban