Lip G Y, Lowe G D
University Department of Medicine, City Hospital, Birmingham.
BMJ. 1996 Jan 6;312(7022):45-9. doi: 10.1136/bmj.312.7022.45.
Antithrombotic prophylaxis with long term warfarin or aspirin reduces thromboembolic risk in atrial fibrillation. Identification, risk assessment, and regular review of all patients with atrial fibrillation should be routine in general and hospital practice. Risk stratification is easily performed on clinical grounds--echocardiography may refine it.
长期使用华法林或阿司匹林进行抗血栓预防可降低房颤患者的血栓栓塞风险。在综合医院及医院医疗实践中,对所有房颤患者进行识别、风险评估及定期复查应成为常规操作。基于临床情况很容易进行风险分层——超声心动图检查可使其更加精确。