Balancing Beats and Bleeding: The Evolving Landscape of Atrial Fibrillation and Anticoagulation in the Past Two

Boshui Huang1, Chenhao Ouyang2, Kaiyan Fan3

  • 1Department of Cardiology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.

Insights

Research on anticoagulation for atrial fibrillation (AF) stroke prevention is rapidly expanding. Future research focuses on novel targets like coagulation factor inhibitors, requiring global collaboration for validation in diverse populations.

Area of Science:

  • Cardiology
  • Hematology
  • Bibliometrics

Background:

  • Anticoagulation is crucial for preventing stroke in atrial fibrillation (AF) patients.
  • Understanding research trends and hotspots is vital for advancing anticoagulation strategies.

Purpose of the Study:

  • To analyze publication trends and identify research hotspots in anticoagulation for AF from 2004 to 2024.
  • To map the landscape of scientific output in this field.

Main Methods:

  • Bibliometric analysis of 12,551 articles retrieved from the Web of Science Core Collection (2004-2024).
  • Analysis included publication counts, country contributions, leading institutions, prolific authors, top journals, and keyword frequency.

Main Results:

  • Publication output increased annually, peaking in 2021.
  • The United States led in publications, followed by Italy and Japan.
  • Key research areas included warfarin, stroke, direct oral anticoagulants (e.g., dabigatran, rivaroxaban, apixaban), antithrombotic therapy, safety, and venous thromboembolism.

Conclusions:

  • Research in AF and anticoagulation shows significant growth.
  • Coagulation contact phase inhibitors (e.g., factor XI, XII inhibitors) represent a promising future therapeutic direction.
  • Global collaboration is essential to validate new anticoagulation strategies across diverse patient populations.

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