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直接口服抗凝剂治疗的脑卒中患者的管理。

Management of patients with stroke treated with direct oral anticoagulants.

机构信息

Neurology and Stroke Center, Department of Clinical Research, University Hospital and University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Stroke Research Center, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology and The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.

出版信息

J Neurol. 2018 Dec;265(12):3022-3033. doi: 10.1007/s00415-018-9061-y. Epub 2018 Oct 6.

DOI:10.1007/s00415-018-9061-y
PMID:30293111
Abstract

Since their market approval, direct oral anticoagulants (DOACs) are being increasingly used for stroke prevention in patients with atrial fibrillation. However, the management of DOAC-treated patients with stroke poses several challenges for physicians in everyday clinical practice, both in the acute setting and in long-term care. This has spurred extensive research activity in the field over the past few years, which we review here.

摘要

自市场批准以来,直接口服抗凝剂(DOAC)越来越多地用于预防房颤患者的中风。然而,在急性和长期护理中,DOAC 治疗的中风患者的管理对医生来说都是日常临床实践中的几个挑战。这促使过去几年在该领域开展了广泛的研究活动,我们在此对其进行了综述。

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Recommendations from the ESO-Karolinska Stroke Update Conference, Stockholm 13-15 November 2016.2016年11月13日至15日于斯德哥尔摩举行的欧洲卒中组织 - 卡罗林斯卡卒中最新进展会议的推荐意见。
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高龄伴有近期卒中和心房颤动患者的口服抗凝剂。
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氨甲环酸治疗超急性原发性脑出血(TICH-2):一项国际随机、安慰剂对照、3 期优效性试验。
Lancet. 2018 May 26;391(10135):2107-2115. doi: 10.1016/S0140-6736(18)31033-X. Epub 2018 May 16.
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Factor Xa inhibitors versus vitamin K antagonists for preventing cerebral or systemic embolism in patients with atrial fibrillation.在房颤患者中,Xa因子抑制剂与维生素K拮抗剂预防脑栓塞或全身性栓塞的比较。
Cochrane Database Syst Rev. 2018 Mar 6;3(3):CD008980. doi: 10.1002/14651858.CD008980.pub3.
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Oral Anticoagulation in Very Elderly Patients With Atrial Fibrillation: A Nationwide Cohort Study.高龄房颤患者的口服抗凝治疗:一项全国性队列研究。
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Ann Neurol. 2018 Mar;83(3):451-459. doi: 10.1002/ana.25165. Epub 2018 Mar 3.
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Stroke Prevention in the Very Elderly.高龄老人的卒中预防
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