<Internation Circulation>:Could you please talk about the optimal strategy of antithrombotic treatment of Atrial Fibrillation?
<Internation Circulation>:Will you please compare and contrast the distinctions between the factor Xa inhibitors and the other new oral anticoagulants?
prof.Weitz:The new agents are of two types: We have oral thrombin inhibitors and oral factor Xa inhibitors. At ACC.10, we saw the results of some of the subgroup analyses of the phase 3 RE-LY trial with dabigatran etexilate, which is an oral thrombin inhibitor. The drug looks very good compared with warfarin; the higher dose regimen of 150 mg twice daily produces a greater reduction in the incidence of stroke and systemic embolism than warfarin, without a significant increase in major bleeding. Furthermore, there is less intracranial bleeding with dabigatran than with warfarin.