Atrial fibrillation and stroke prevention: state of the art-epidemiology and pathophysiology: new risk factors, concepts and controversies

被引:12
|
作者
Kodani, Eitaro [1 ]
Akao, Masaharu [2 ]
机构
[1] Tama Nagayama Hosp, Dept Cardiovasc Med, Nippon Med Sch, 1-7-1 Nagayama, Tama, Tokyo 2068512, Japan
[2] Natl Hosp Org Kyoto Med Ctr, Dept Cardiol, Fushimi Ku, 1-1 Mukaihata Cho, Kyoto 6128555, Japan
关键词
atrial fibrillation; Stroke; risk factor; epidemiology; pathophysiology; SYSTOLIC BLOOD-PRESSURE; VALVULAR HEART-DISEASE; JAPANESE PATIENTS; PREDICTING STROKE; BLEEDING RISK; ANTICOAGULATED PATIENTS; SYSTEMIC EMBOLISM; ISCHEMIC-STROKE; ANTITHROMBOTIC THERAPY; ORAL ANTICOAGULANTS;
D O I
10.1093/eurheartj/suaa176
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation (AF) increases the risk of thromboembolism, and risk assessment for thromboembolism is necessary for the management of AF patients. CHADS2 and CHA2DS2-VASc scores have been adopted in international guidelines for AF management, but the significance of each risk factor included in these risk scores are sometimes controversial, and the performance of these scores is only modest. There are several other risk factors not included in the scores such as renal dysfunction, low body weight, type of AF (paroxysmal or non-paroxysmal) as well as echocardiographic parameters and blood biomarkers, and physicians should assess patientsa risk in an integrated manner.
引用
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页码:1 / 13
页数:13
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