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急性冠状动脉综合征和/或经皮冠状动脉介入治疗的心房颤动患者的抗栓治疗管理:执行摘要——欧洲心脏病学会血栓形成工作组的共识文件,得到欧洲心律学会(EHRA)和欧洲经皮心血管介入协会(EAPCI)的认可。

Antithrombotic management of atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing coronary stenting: executive summary--a Consensus Document of the European Society of Cardiology Working Group on Thrombosis, endorsed by the European Heart Rhythm Association (EHRA) and the European Association of Percutaneous Cardiovascular Interventions (EAPCI).

机构信息

University of Birmingham Centre for Cardiovascular Sciences, City Hospital, Birmingham B18 7QH, UK.

出版信息

Eur Heart J. 2010 Jun;31(11):1311-8. doi: 10.1093/eurheartj/ehq117. Epub 2010 May 6.

Abstract

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.

摘要

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。

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