Atrial Fibrillation Stroke Prevention in Older Adults

被引：4

作者：

Quinn, Gene R. ^{[2
]}

Fang, Margaret C. ^{[1
]}

机构：

[1] Univ Calif San Francisco, Div Hosp Med, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2012年 / 28卷 / 04期

关键词：

Atrial fibrillation; Stroke prevention; Anticoagulants; Bleeding risk; CLINICAL CLASSIFICATION SCHEMES; RISK STRATIFICATION SCHEMES; FACTOR XA INHIBITOR; ANTITHROMBOTIC THERAPY; COST-EFFECTIVENESS; INTRACRANIAL HEMORRHAGE; ANTICOAGULANT-THERAPY; ORAL ANTICOAGULATION; CATHETER ABLATION; PREDICTING STROKE;

D O I：

10.1016/j.cger.2012.08.003

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Atrial fibrillation (AF) is an increasingly prevalent disease in the elderly. Patients with AF are at increased risk of ischemic stroke, resulting in significant morbidity and mortality. Warfarin is highly effective at reducing stroke risk, with a net clinical benefit favoring treatment in older individuals. The advent of newer oral anticoagulants provides promising alternatives to warfarin. Appropriate risk stratification for stroke should be performed for all patients with AF to guide antithrombotic therapy. For patients at lower stroke risk, bleeding risk stratification tools can also be used when the benefit of anticoagulant therapy is unclear.

引用

页码：617 / +

页数：20

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