Fellow in Cardiology, Washington University School of Medicine, St. Louis, MO, USA.
Director, Cardiac Rapid Evaluation Unit, Barnes-Jewish Hospital, St. Louis, MO, USA.
Cleve Clin J Med. 2017 Jan;84(1):35-40. doi: 10.3949/ccjm.84a.16016.
Guidelines for managing atrial fibrillation recommend systemic anticoagulation for almost all patients age 65 and older, but in practice up to 50% of older patients do not receive maintenance anticoagulation therapy. The most common reason physicians cite for withholding anticoagulation in older patients with atrial fibrillation is a perception of a high risk of falling and associated bleeding, especially intracranial hemorrhage.
心房颤动管理指南建议几乎所有 65 岁及以上的患者进行全身抗凝治疗，但实际上，多达 50%的老年患者未接受维持抗凝治疗。医生在老年心房颤动患者中拒绝抗凝的最常见原因是认为跌倒风险高且相关出血风险高，尤其是颅内出血。
