Cochrane · systematic review · CD003336

Anticoagulation versus placebo for heart failure in sinus rhythm

Shantsila, E, Kozieł, M, Lip, GYH · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 33.3%Moderate 2 · 33.3%High 1 · 16.7%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Warfarin compared to placebo or no treatment in people with chronic heart failure in sinus rhythm

Population: people with heart failure in sinus rhythm
3 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause death
Warfarin vs placebo or no treatment
OR 0.66 [0.36, 1.18]2 studies · 324 participantsLow
Downgraded: imprecision, inconsistency
Stroke
Warfarin vs placebo or no treatment
no estimate extractedNRNo studies
Major bleeding eventsc
Warfarin vs placebo or no treatment
OR 5.98 [1.71, 20.93]2 studies · 324 participantsLow
Downgraded: imprecision, inconsistency

Rivaroxaban compared to placebo in people with heart failure in sinus rhythm

Population: people with heart failure in sinus rhythm
3 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause death
Rivaroxaban vs placebo
OR 0.99 [0.87, 1.13]1 study · 5022 participantsHigh
Stroke
Rivaroxaban vs placebo
OR 0.67 [0.47, 0.95]1 study · 5022 participantsModerate
Downgraded: imprecision
Major bleeding eventsb
Rivaroxaban vs placebo
OR 1.65 [1.17, 2.33]1 study · 5008 participantsModerate
Downgraded: imprecision