Cochrane · systematic review · CD014678

Non‐vitamin‐K‐antagonist oral anticoagulants (NOACs) after acute myocardial infarction: a network meta‐analysis

Al Said, S, Kaier, K, Sumaya, W, et al. · Cochrane Database of Systematic Reviews · 2024 · 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 33.3%Moderate 3 · 33.3%High 3 · 33.3%

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

Non‐vitamin‐K‐antagonist oral anticoagulants versus placebo in adults with acute myocardial infarction and without an indication for anticoagulation: all‐cause mortality

Population: adults after AMI without an indication for anticoagulation
3 questions
OutcomeEffectEvidenceStatus / GRADE
Apixaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted2 studies · 8638 participantsModerate
Downgraded: imprecision
Rivaroxaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted3 studies · 21870 participantsHigh
Dabigatran (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted1 study · 1861 participantsLow
Downgraded: imprecision

Non‐vitamin‐K‐antagonist oral anticoagulants versus placebo in adults with acute myocardial infarction and without an indication for anticoagulation: cardiovascular mortality

Population: adults after AMI without an indication for anticoagulation
3 questions
OutcomeEffectEvidenceStatus / GRADE
Apixaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted2 studies · 8638 participantsModerate
Downgraded: imprecision
Rivaroxaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted3 studies · 21870 participantsModerate
Downgraded: imprecision
Dabigatran (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted1 study · 1861 participantsLow
Downgraded: imprecision

Non‐vitamin‐K‐antagonist oral anticoagulants versus placebo in adults with acute myocardial infarction and without an indication for anticoagulation: major bleeding

Population: adults after AMI without an indication for anticoagulation
3 questions
OutcomeEffectEvidenceStatus / GRADE
Apixaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted2 studies · 8544 participantsHigh
Rivaroxaban (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted3 studies · 21870 participantsHigh
Dabigatran (all doses combined) vs placebo
Non‐vitamin‐K‐antagonist oral anticoagulants vs placebo
no estimate extracted1 study · 1861 participantsLow
Downgraded: imprecision