In a previous meta-analysis, patients with EHRA type 2 VHDs (total n = 13,585 treated with warfarin and NOAC) showed a trend for higher rates of ischemic stroke/systemic embolic events, significantly higher rates of major bleeding and all-cause death than without EHRA type 2 VHDs [ 10 ].
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Non-Vitamin K Antagonist Oral Anticoagulants in Patients with Atrial Fibrillation and Valvular Heart Disease.
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NOAC showed a nonsignificant trend for a lower risk of ICH when compared to warfarin (HR: 0.843, 95% CI: 0.523–1.321, Figure 3 , panel A).