非瓣膜性心房颤动患者围术期的抗凝治疗
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(解放军第88医院心内科,山东省泰安市 271000)

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杨曙光,教授,硕士研究生导师,研究方向为冠心病、心律失常和心力衰竭的基础与临床,E-mail为qingyuw@163.com。

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Periprocedural anticoagulation in patients with nonvalvular atrial fibrillation
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Department of Cardiology, the 88th Hospital of PLA, Taian, Shandong 271000, China)

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    摘要:

    大多数非瓣膜性心房颤动(NVAF)患者需长期应用口服抗凝药物,以减少中风及系统性栓塞的风险。这些患者在接受外科手术或侵入性操作时出血风险增加,部分患者在围术期需暂时中断抗凝治疗。近年来,对于NVAF患者围术期暂时中断抗凝治疗的适应症、时间、暂时中断口服抗凝药物后抗凝治疗的桥接,以及术后抗凝治疗的重新应用已有较多的临床研究。本文简要介绍NVAF患者围术期抗凝治疗的研究现状。

    Abstract:

    Anticoagulant therapy is recommended for most patients with nonvalvular atrial fibrillation (NVAF) to reduce the risk of stroke and systemic embolism. Temporary interruption of oral anticoagulant drugs (OAC) in preparation for a procedure, is frequently necessary, most often to mitigate bleed risk with surgical or invasive procedures in these patients. In recent years, a lot of clinical studies related to periprocedural management of anticoagulant therapy for NVAF patients have been performed by specifical addressing:①whether or when anticoagulant therapy should be interrupted; ②whether or how anticoagulant bridging with a parenteral agent should be performed; ③when and how anticoagulant therapy should be restarted. Research status of periprocedural anticoagulation in NVAF patients will be reviewed in this article.

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杨曙光.非瓣膜性心房颤动患者围术期的抗凝治疗[J].中国动脉硬化杂志,2017,25(10):1076~1080.

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  • 收稿日期:2017-03-06
  • 最后修改日期:2017-07-02
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  • 在线发布日期: 2017-11-28