Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile
Maxim Grymonprez

@grymonprezmaxim

MD, PhD - Dept. of Internal medicine, Ghent University Hospital, Belgium

ID: 1235209284570492929

calendar_today04-03-2020 14:23:43

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Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Belgian nationwide cohort study on OAC use in AF 2013-2019: 📌Prevalent OAC use: 29% ↗️, NOAC > VKA since 2015 📌Incident OAC use: stable, NOAC > VKA before 2013 📌Treatment gap: female AF patients <75 years old followed in primary care FT: doi.org/10.1111/bcp.15…

Belgian nationwide cohort study on OAC use in AF 2013-2019:
📌Prevalent OAC use: 29% ↗️, NOAC &gt; VKA since 2015
📌Incident OAC use: stable, NOAC &gt; VKA before 2013
📌Treatment gap: female AF patients &lt;75 years old followed in primary care

FT: doi.org/10.1111/bcp.15…
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 254,478 AF patients: 1. NOACs vs VKAs: superior effectiveness, non-inferior to superior safety 2. NOACs vs NOACs: -> Comparable effectiveness -> Differential safety: lower major bleeding risk with api/dabi vs riva & api vs dabi/edo doi.org/10.3389/fphar.…

Nationwide study with 254,478 AF patients:
1. NOACs vs VKAs: superior effectiveness, non-inferior to superior safety 
2. NOACs vs NOACs:
-&gt; Comparable effectiveness
-&gt; Differential safety: lower major bleeding risk with api/dabi vs riva &amp; api vs dabi/edo

doi.org/10.3389/fphar.…
Frontiers - Pharmacology and Toxicology (@frontpharmacol) 's Twitter Profile Photo

New Research: Long-term comparative effectiveness and safety of dabigatran, rivaroxaban, apixaban and edoxaban in patients with atrial fibrillation: A nationwide cohort study frontiersin.org/articles/10.33… #pharmacology

Lies Lahousse (@lieslahousse) 's Twitter Profile Photo

Belangrijk bevolkingsonderzoek GLORIA GEZONDHEIDSMONITOR gesteund door multi-disciplinair team vanuit UGent UZ Gent imec in Vlaanderen & Stad Gent gaat komende 20 jaar 20.000 Gentenaars onderzoeken om impact veroudering te meten vrtnws.be/p.RajL6Wd8d

Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 237,012 Afib patients: 📌 NOACs: 9%↘️ risk of dementia vs VKAs 🧠✅ -> ↘️ risk of vascular & other/unspecified dementia ✅ <-> similar risk of Alzheimer’s disease ❌ 📌 ↘️ risk with apixaban & edoxaban (not dabi/riva) FT: doi.org/10.1093/ageing…

Nationwide study with 237,012 Afib patients:
📌 NOACs: 9%↘️ risk of dementia vs VKAs 🧠✅ 
-&gt; ↘️ risk of vascular &amp; other/unspecified dementia ✅  
&lt;-&gt; similar risk of Alzheimer’s disease ❌
📌 ↘️ risk with apixaban &amp; edoxaban (not dabi/riva)

FT: doi.org/10.1093/ageing…
Prof Chris P Gale (@cpgale3) 's Twitter Profile Photo

Impact of frailty on the effectiveness & safety of non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation: a nationwide cohort study #AFib #NOAC #frailty #EHJQCCO academic.oup.com/ehjqcco/advanc…

European Society of Cardiology Journals (@esc_journals) 's Twitter Profile Photo

Three out of ten #AFib patients are frail, and have a higher mortality risk. What to expect from #NOACs in this setting? More on this >250k patients cohort study in academic.oup.com/ehjqcco/advanc… #EHJQCCO #cardiotwitter Prof Chris P Gale Diogo Santos Ferreira

Three out of ten #AFib patients are frail, and have a higher mortality risk. What to expect from #NOACs in this setting? More on this &gt;250k patients cohort study in academic.oup.com/ehjqcco/advanc… 

#EHJQCCO #cardiotwitter <a href="/cpgale3/">Prof Chris P Gale</a> <a href="/diogoasantosfer/">Diogo Santos Ferreira</a>
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 254,478 Afib patients: -> Previous falls were independent predictors of intracranial bleeding and death -> NOACs had better benefit-risk profiles than VKAs in patients with a fall history, especially apixaban FT: authors.elsevier.com/sd/article/S23…

Nationwide study with 254,478 Afib patients:
-&gt; Previous falls were independent predictors of intracranial bleeding and death
-&gt; NOACs had better benefit-risk profiles than VKAs in patients with a fall history, especially apixaban

FT: authors.elsevier.com/sd/article/S23…
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 254,478 Afib patients: -> Polypharmacy (66% of patients): independent risk factor for thromboembolism, major bleeding and all-cause mortality -> NOACs: better benefit-risk profiles than VKAs if polypharmacy, especially apixaban FT: thieme-connect.de/products/ejour…

Nationwide study with 254,478 Afib patients:
-&gt; Polypharmacy (66% of patients): independent risk factor for thromboembolism, major bleeding and all-cause mortality
-&gt; NOACs: better benefit-risk profiles than VKAs if polypharmacy, especially apixaban

FT: thieme-connect.de/products/ejour…
Marco Proietti MD PhD (@mproiettimd) 's Twitter Profile Photo

Proud and grateful to Prof. Lies Lahousse for having invited me to be part, as foreign expert, of the PhD Committee of Dr. Maxim Grymonprez at UZ Gent. A strong dissertation and a fantastic start to an hopefully fruitful collaboration! Università degli Studi di Milano @icsmaugeri

Proud and grateful to Prof. <a href="/LiesLahousse/">Lies Lahousse</a> for having invited me to be part, as foreign expert, of the PhD Committee of Dr. <a href="/GrymonprezMaxim/">Maxim Grymonprez</a> at <a href="/uzgent/">UZ Gent</a>. A strong dissertation and a fantastic start to an hopefully fruitful collaboration! <a href="/LaStatale/">Università degli Studi di Milano</a> @icsmaugeri
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

After 4 years of research on oral anticoagulants in patients with atrial fibrillation, I have finally obtained my PhD! Special thanks to my supervisor Lies Lahousse, the PhD evaluation committee Sofiegevaert Marco Proietti MD PhD @MirkoPe41401841 , and FWO

After 4 years of research on oral anticoagulants in patients with atrial fibrillation, I have finally obtained my PhD! 
Special thanks to my supervisor <a href="/LiesLahousse/">Lies Lahousse</a>, the PhD evaluation committee <a href="/Sofiegevaert/">Sofiegevaert</a> <a href="/MProiettiMD/">Marco Proietti MD PhD</a> @MirkoPe41401841 , and <a href="/FWOVlaanderen/">FWO</a>
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 92,111 NOAC-treated Afib patients: -> NOAC adherence <90%: ↗higher risk of stroke/SE -> NOAC adherence <95%: ↗higher risk of bleeding and death -> Similar with OD & BID dosed NOACs FT: link.springer.com/article/10.100… Lies Lahousse

Nationwide study with 92,111 NOAC-treated Afib patients:
-&gt; NOAC adherence &lt;90%: ↗higher risk of stroke/SE
-&gt; NOAC adherence &lt;95%: ↗higher risk of bleeding and death
-&gt; Similar with OD &amp; BID dosed NOACs

FT: link.springer.com/article/10.100…

<a href="/LiesLahousse/">Lies Lahousse</a>
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study with 193 072 #Afib patients using #NOACs: -> P-gp/CYP3A4 inhibitor use: 24% & 7% ↗higher risk of bleeding and death, resp -> P-gp/CYP3A4 inducer use: 31% ↗higher risk of stroke FT: bit.ly/46ppwF6 Lies Lahousse European Society of Cardiology Journals

Nationwide study with 193 072 #Afib patients using #NOACs: 
-&gt; P-gp/CYP3A4 inhibitor use: 24% &amp; 7% ↗higher risk of bleeding and death, resp
-&gt; P-gp/CYP3A4 inducer use: 31% ↗higher risk of stroke

FT: bit.ly/46ppwF6

<a href="/LiesLahousse/">Lies Lahousse</a> <a href="/ESC_Journals/">European Society of Cardiology Journals</a>
Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

Nationwide study, 193 072 #Afib patients using #NOACs: ->Pharmacodynamic drug interaction: 19% ↗ bleeding risk: P2Y12 inhib: +62% Corticosteroid: +53% SSRI/SNRI: +26% Aspirin: +14% NSAID: +10% ->↗️ICH risk: SSRI/SNRI (+50%) & corticosteroid (+49%) FT: rdcu.be/dqrET

Nationwide study, 193 072 #Afib patients using #NOACs:  
-&gt;Pharmacodynamic drug interaction: 19% ↗ bleeding risk:
P2Y12 inhib: +62%
Corticosteroid: +53%
SSRI/SNRI: +26%
Aspirin: +14%
NSAID: +10%

-&gt;↗️ICH risk: SSRI/SNRI (+50%) &amp; corticosteroid (+49%)

FT: rdcu.be/dqrET
Thrombosis & Haemostasis, TH,TH Open (@th_journal) 's Twitter Profile Photo

#NOACs in #AFib 🫀 pts with #Polypharmacy 💊💉: 👀Read Editorial from Marco Proietti MD PhD mark romiti and Bernadette Corica Giulio Francesco Romiti original paper from Maxim Grymonprez and team🔗 thieme-connect.de/products/ejour… thieme-connect.de/products/ejour… #anticoagulation

Thrombosis & Haemostasis, TH,TH Open (@th_journal) 's Twitter Profile Photo

💊 What is the impact of #polypharmacy on efficacy and safety of #DOAC in #AF? ⤵️ 🫀 >250.000 #AFib pts., 66% with polypharmacy 📈 Polypharmacy➡️increased #thromboembolism, #bleeding and death 👉 thieme-connect.de/products/ejour… Maxim Grymonprez Lies Lahousse #Cardiology #anticoag

Maxim Grymonprez (@grymonprezmaxim) 's Twitter Profile Photo

🎉 Our manuscript is accepted in Thrombosis Research! Conducted in 201 Belgian pharmacies, we highlight the crucial role of skilled DDI management for safe DOAC use. 🌟 FT: authors.elsevier.com/a/1j3rKBEfCv5H9

🎉 Our manuscript is accepted in <a href="/ThrombosisRese1/">Thrombosis Research</a>! Conducted in 201 Belgian pharmacies, we highlight the crucial role of skilled DDI management for safe DOAC use. 🌟
FT:  authors.elsevier.com/a/1j3rKBEfCv5H9
SABOURETCardiologist (@sabouretcardio) 's Twitter Profile Photo

Anticoagulant-related bleeding as a sign of underlying tumoral lesions in patients with #AF. An useful reminder. academic.oup.com/ehjopen/advanc…