Apixaban and eftrenonacog alfa treatment in a patient with moderate hemophilia B and cardiovascular disease.

Hematol Rep

Cardiology Unit, Azienda Ospedaliera "Pugliese Ciaccio", Catanzaro, Italy.

Published: September 2021

AI Article Synopsis

  • In developed countries, patients with hemophilia are now living nearly as long as those without the condition, increasing their risk for age-related diseases like cardiovascular issues.
  • Managing heart disease in these patients is complex due to their heightened risk of bleeding.
  • This report highlights a unique case of a man with moderate hemophilia B who had heart disease and arrhythmia, successfully treated with apixaban, left atrial appendage closure, and anti-hemorrhagic therapy.

Article Abstract

In developed countries, the life expectancy of patients with hemophilia (PwH) is now close to that of the unaffected male population. This means that these patients are at risk of developing age-related comorbidities, including cardiovascular disease. Managing cardiovascular disease in PwH patients can be particularly challenging, due to their high bleeding risk. To our knowledge, this is the first report of a male patient with moderate hemophilia B and hypertensive ischemic heart disease complicated by arrhythmia due to nonvalvular atrial fibrillation, who was treated with apixaban and left atrial appendage closure while receiving concomitant anti-hemorrhagic prophylaxis with eftrenonacog alfa.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8485731PMC
http://dx.doi.org/10.4081/hr.2021.9169DOI Listing

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