Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.
Department of Translational and Precision Medicine, Sapienza-University of Rome, Rome, Italy.
Thromb Haemost. 2024 Apr;124(4):281-285. doi: 10.1055/s-0043-1776394. Epub 2023 Oct 23.
Stroke prevention is crucial for the management of patients with atrial fibrillation (AF), and several risk factors have been identified, which increase the risk of AF-related stroke. Among these factors, female sex has been repeatedly associated with AF-related stroke risk; nonetheless, trends toward lower use of oral anticoagulant in women with AF were also reported. In this clinical focus, we discuss about the role of female sex as a risk factor for AF-related stroke, and reflect on the clinical implications of its inclusion among the risk factors for thromboembolic risk stratification in patients with AF.
卒中预防对于房颤(AF)患者的管理至关重要,已经确定了几个增加 AF 相关卒中风险的危险因素。在这些因素中,女性性别与 AF 相关卒中风险反复相关;尽管如此,也有报道称女性 AF 患者口服抗凝剂的使用率较低。在本次临床重点讨论中,我们讨论了女性性别作为 AF 相关卒中风险因素的作用,并思考了在 AF 患者血栓栓塞风险分层的危险因素中纳入这一因素的临床意义。