Rivaroxaban plus antiplatelet therapy for coronary artery ectasia: 36-month outcomes and risk prediction from a retrospective cohort study - Takeaways - MDSpire

Rivaroxaban plus antiplatelet therapy for coronary artery ectasia: 36-month outcomes and risk prediction from a retrospective cohort study

  • By

  • Mengwei Feng

  • Yunjie Wu

  • Chaoqing Xie

  • Jingxian Xing

  • Deguang Wang

  • Xue Liang

  • Juan Liu

  • Hui Gao

  • Tao Geng

  • July 15, 2026

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  • 1

    Coronary artery ectasia (CAE) is linked to thrombotic complications due to abnormal dilation and slow blood flow.

  • 2

    In a study of 312 CAE patients, low-dose rivaroxaban combined with antiplatelet therapy significantly reduced major adverse cardiovascular events.

  • 3

    After 36 months, the combination therapy showed an 8.1% MACE rate compared to 21.8% for antiplatelet therapy alone.

  • 4

    Improvements in biomarkers were greater in the combination therapy group, with no significant difference in bleeding rates.

  • 5

    A predictive model based on D-dimer and Markis classification was developed but requires external validation.

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