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[八旬老人中的中风]

[Stroke in octogenarians].

作者信息

Reith Wolfgang, Bachhuber Armin

机构信息

Klinik für Diagnostische, und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66424, Homburg-Saar, Deutschland.

出版信息

Radiologie (Heidelb). 2025 Feb;65(2):85-93. doi: 10.1007/s00117-024-01405-x. Epub 2025 Jan 23.

DOI:10.1007/s00117-024-01405-x
PMID:39847095
Abstract

Stroke is one of the most common causes of disability in older adults. It remains a common cause of death and permanent functional limitation in individuals who are older than 80 years. Approximately 50% of all strokes occur in people over the age of 75, and 30% in those over 85. Top priorities in primary stroke prevention include the treatment of hypertension, anticoagulation for patients with atrial fibrillation, and lifestyle modifications such as smoking cessation.

摘要

中风是老年人残疾的最常见原因之一。在80岁以上的人群中,它仍然是常见的死亡原因和永久性功能受限的原因。所有中风病例中约50%发生在75岁以上的人群中,30%发生在85岁以上的人群中。一级中风预防的首要任务包括治疗高血压、对房颤患者进行抗凝治疗以及戒烟等生活方式的改变。

相似文献

1
[Stroke in octogenarians].[八旬老人中的中风]
Radiologie (Heidelb). 2025 Feb;65(2):85-93. doi: 10.1007/s00117-024-01405-x. Epub 2025 Jan 23.
2
Direct oral anticoagulants versus no anticoagulation for the prevention of stroke in survivors of intracerebral haemorrhage with atrial fibrillation (PRESTIGE-AF): a multicentre, open-label, randomised, phase 3 trial.直接口服抗凝剂与不进行抗凝治疗预防伴有心房颤动的脑出血幸存者中风的疗效比较(PRESTIGE-AF):一项多中心、开放标签、随机、3期试验
Lancet. 2025 Mar 15;405(10482):927-936. doi: 10.1016/S0140-6736(25)00333-2. Epub 2025 Feb 26.
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WITHDRAWN: Anticoagulants or antiplatelet therapy for non-rheumatic atrial fibrillation and flutter.撤回:非风湿性心房颤动和心房扑动的抗凝或抗血小板治疗。
Cochrane Database Syst Rev. 2007 Jul 18;2006(3):CD001938. doi: 10.1002/14651858.CD001938.pub2.
4
Anticoagulants or antiplatelet therapy for non-rheumatic atrial fibrillation and flutter.非风湿性心房颤动和心房扑动的抗凝或抗血小板治疗。
Cochrane Database Syst Rev. 2001(1):CD001938. doi: 10.1002/14651858.CD001938.
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Oral anticoagulants versus antiplatelet therapy for preventing stroke in patients with non-valvular atrial fibrillation and no history of stroke or transient ischemic attacks.口服抗凝剂与抗血小板治疗对预防非瓣膜性心房颤动且无卒中或短暂性脑缺血发作史患者卒中的疗效比较
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Oral anticoagulants for preventing stroke in patients with non-valvular atrial fibrillation and no previous history of stroke or transient ischemic attacks.用于预防非瓣膜性心房颤动且无既往卒中或短暂性脑缺血发作史患者卒中的口服抗凝药。
Cochrane Database Syst Rev. 2005 Jul 20;2005(3):CD001927. doi: 10.1002/14651858.CD001927.pub2.
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Direct oral anticoagulants versus warfarin for preventing stroke and systemic embolic events among atrial fibrillation patients with chronic kidney disease.直接口服抗凝剂与华法林在预防慢性肾脏病房颤患者中风和全身性栓塞事件方面的比较
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Stroke and thromboembolism in atrial fibrillation: a systematic review of stroke risk factors, risk stratification schema and cost effectiveness data.心房颤动中的中风与血栓栓塞:中风危险因素、风险分层方案及成本效益数据的系统评价
Thromb Haemost. 2008 Feb;99(2):295-304. doi: 10.1160/TH07-08-0508.
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An Evidence-Based Approach to Anticoagulation Therapy Comparing Direct Oral Anticoagulants and Vitamin K Antagonists in Patients With Atrial Fibrillation and Bioprosthetic Valves: A Systematic Review, Meta-Analysis, and Network Meta-Analysis.基于证据的抗凝治疗方法比较:直接口服抗凝剂与维生素 K 拮抗剂在房颤和生物瓣患者中的应用:系统评价、荟萃分析和网络荟萃分析。
Am J Cardiol. 2023 Nov 1;206:132-150. doi: 10.1016/j.amjcard.2023.07.141. Epub 2023 Sep 11.

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Effects of n-3 Fatty Acid Supplements in Elderly Patients After Myocardial Infarction: A Randomized, Controlled Trial.n-3脂肪酸补充剂对老年心肌梗死患者的影响:一项随机对照试验。
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Functional Outcomes at 90 Days in Octogenarians Undergoing Thrombectomy for Acute Ischemic Stroke: A Prospective Cohort Study and Meta-Analysis.
急性缺血性卒中行血栓切除术的八旬老人90天功能转归:一项前瞻性队列研究和荟萃分析
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Circulation. 2019 Jun 18;139(25):e1082-e1143. doi: 10.1161/CIR.0000000000000625. Epub 2018 Nov 10.
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Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA.氯吡格雷和阿司匹林在急性缺血性卒中和高风险 TIA 中的应用。
N Engl J Med. 2018 Jul 19;379(3):215-225. doi: 10.1056/NEJMoa1800410. Epub 2018 May 16.
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Endovascular Treatment of Anterior Circulation Large Vessel Occlusion in the Elderly.老年患者前循环大血管闭塞的血管内治疗
Front Neurol. 2018 Jan 19;8:713. doi: 10.3389/fneur.2017.00713. eCollection 2017.
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2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2017美国心脏病学会/美国心脏协会/美国医师协会/美国心脏病学学会/美国预防医学学院/美国老年病学会/美国药学协会/美国血液学会/美国预防医学学会/美国医学协会/美国初级保健医师学会成人高血压预防、检测、评估和管理指南:美国心脏病学会/美国心脏协会临床实践指南工作组报告
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Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct.发病后 6 至 24 小时内进行取栓术治疗与缺损和梗死不匹配的脑卒中。
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