抗凝治疗：心房颤动患者的卒中预防

Anticoagulation: stroke prevention in patients with atrial fibrillation.

作者信息

Waldo Albert L

机构信息

Department of Medicine, Division of Cardiovascular Medicine, Case Western Reserve University/University Hospitals of Cleveland Case Medical Center, Cleveland, OH, USA.

出版信息

Med Clin North Am. 2008 Jan;92(1):143-59, xi. doi: 10.1016/j.mcna.2007.08.007.

DOI:10.1016/j.mcna.2007.08.007

PMID:18061002

Abstract

It is well recognized that during atrial fibrillation (AF), clots may form in the left atrium. This, in turn, may lead to embolization of the clot, with resulting ischemic stroke or systemic embolism. Also, the presence of AF confers a fivefold increased risk for stroke. AF is the most common and important cause of stroke resulting from any cause. This article considers the risks for and anticoagulation prophylaxis against embolic stroke in patients with AF.

摘要

众所周知，在心房颤动（AF）期间，左心房可能会形成血栓。进而，这可能导致血栓栓塞，引发缺血性中风或全身性栓塞。此外，AF的存在使中风风险增加五倍。AF是所有原因导致中风的最常见且最重要的原因。本文探讨了AF患者发生栓塞性中风的风险以及抗凝预防措施。