Stroke Prevention in Atrial Fibrillation The Role of Oral Anticoagulation

被引：12

作者：

Mtwesi, Viwe ^{[1
]}

Amit, Guy ^{[1
]}

机构：

[1] McMaster Univ, Hamilton Gen Hosp, Dept Med, Div Cardiol, 237 Barton St East, Hamilton, ON L8L 2X2, Canada

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2019年 / 103卷 / 05期

关键词：

Atrial fibrillation; Stroke prevention; Anticoagulation; NOAC; Warfarin; DIRECT-CURRENT CARDIOVERSION; PREDICTING STROKE; ISCHEMIC-STROKE; ELECTRICAL CARDIOVERSION; RISK STRATIFICATION; TREATED PATIENTS; DIRECT THROMBIN; LOW-INTENSITY; PLUS ASPIRIN; WARFARIN;

D O I：

10.1016/j.mcna.2019.05.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Oral anticoagulation significantly reduces the risk of stroke in patients with atrial fibrillation (AF), and the decision to initiate therapy is based on assessing the patient's yearly risk of stroke. Although warfarin remains the drug of choice in patients with AF and artificial mechanical valves, the novel anticoagulation agents are becoming the drug of choice for all other patients with AF, because of their efficacy, safety, and ease of use. This article summarizes the current evidence for stroke prevention in AF, including valvular AF, subclinical AF, AF in patients with renal insufficiency, as well as stroke prevention around AF cardioversion.

引用

页码：847 / +

页数：17

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