Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance

被引：41

作者：

Hagerty, Tracy ^{[1
]}

Rich, Michael W. ^{[2
,3
]}

机构：

[1] Washington Univ, Sch Med, Cardiol, St Louis, MO USA

[2] Barnes Jewish Hosp, Cardiac Rapid Evaluat Unit, St Louis, MO 63110 USA

[3] Washington Univ, Sch Med, Med, St Louis, MO USA

来源：

CLEVELAND CLINIC JOURNAL OF MEDICINE | 2017年 / 84卷 / 01期

基金：

美国国家卫生研究院;

关键词：

CLINICAL CLASSIFICATION SCHEMES; STROKE PREVENTION; NATIONAL REGISTRY; PREDICTING STROKE; BLEEDING RISK; HEMORRHAGE; WARFARIN; MANAGEMENT; ATTITUDES; OUTCOMES;

D O I：

10.3949/ccjm.84a.16016

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Guidelines for managing atrial fibrillation recommend systemic anticoagulation for almost all patients age 65 and older, but in practice up to 50% of older patients do not receive maintenance anticoagulation therapy. The most common reason physicians cite for withholding anticoagulation in older patients with atrial fibrillation is a perception of a high risk of falling and associated bleeding, especially intracranial hemorrhage.

引用

页码：35 / 40

页数：6

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