University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham B18 7QH, UK.
Eur Heart J. 2010 Jun;31(11):1311-8. doi: 10.1093/eurheartj/ehq117. Epub 2010 May 6.
There remains uncertainty over optimal antithrombotic management strategy for patients with atrial fibrillation (AF) presenting with an acute coronary syndrome and/or undergoing percutaneous coronary intervention/stenting. Clinicians need to balance the risk of stroke and thromboembolism against the risk of recurrent cardiac ischaemia and/or stent thrombosis and the risk of bleeding. The full consensus document comprehensively reviews the published evidence and presents a consensus statement on a 'best practice' antithrombotic therapy guideline for the management of antithrombotic therapy in such AF patients. This executive summary highlights the main recommendations from the consensus document.
对于伴有急性冠状动脉综合征和/或接受经皮冠状动脉介入治疗/支架置入术的心房颤动(AF)患者,其最佳抗栓管理策略仍存在不确定性。临床医生需要平衡中风和血栓栓塞风险与复发性心肌缺血和/或支架血栓形成风险以及出血风险。完整的共识文件全面审查了已发表的证据,并就 AF 患者抗栓治疗管理的“最佳实践”抗栓治疗指南提出了共识声明。本执行摘要重点介绍了共识文件中的主要建议。