Aronow Wilbert S
Cardiology Division, New York Medical College, Macy Pavilion, Room 138, Valhalla, NY 10595, USA.
Compr Ther. 2008 Fall-Winter;34(3-4):134-42.
Many cardiologists prefer, especially in older patients, ventricular rate control plus warfarin rather than maintaining sinus rhythm with anti-arrhythmic drugs. Patients with chronic or paroxysmal AF at high risk for stroke should be treated with long-term warfarin to achieve an International Normalized Ratio of 2.0 to 3.0. Patients with AF at low risk for stroke or with contraindications to warfarin should be treated with aspirin.
许多心脏病专家更倾向于，尤其是对于老年患者，采用心室率控制加华法林治疗，而非使用抗心律失常药物维持窦性心律。慢性或阵发性房颤且卒中高危患者应长期使用华法林治疗，使国际标准化比值达到2.0至3.0。房颤且卒中低危或对华法林有禁忌证的患者，应使用阿司匹林治疗。
