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Updated: Aug 6, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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.
Abstract:
BackgroundAnticoagulation has been the cornerstone for stroke prevention in patients with atrial fibrillation (AF). This study aims to describe the research trends and research hotspots in anticoagulation and AF.MethodsPublications on AF and anticoagulation were retrieved from the Web of Science Core Collection from 2004 to 2024 for bibliometric analyses.ResultsA total of 12,551 articles were retrieved. The number of publications increased each year, reaching its peak in 2021. The United States has the largest number of published articles (country appearances, 18,181), followed by Italy (6525) and Japan (6,235). The most productive institutions were Harvard University (658), McMaster University (570), and the University of Birmingham (550). LIP GYH was the most prolific author, with 707 articles published. 'Circulation' has the highest H-index (77), followed by the 'Thrombosis and Hemostasis' (73), 'Journal of the American College of Cardiology' (72). The keyword analysis revealed that the research focused on warfarin, stroke, dabigatran, direct oral anticoagulants, rivaroxaban, antithrombotic therapy, prevention, safety, apixaban, and venous thromboembolism.ConclusionsResearch in AF and anticoagulation has expanded rapidly. Coagulation contact phase (such as coagulation factor XI and XII) inhibitors have emerged as a promising future therapeutic target, and there is a critical need for global collaboration to validate these strategies across diverse populations.
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