心房颤动导管消融术后预防中风的新策略。

IF 7.2 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
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引用次数: 0

摘要

心房颤动导管消融成功后的卒中预防仍是一个有争议的话题。口服抗凝药可显著降低一般心房颤动患者的卒中风险,但可能会增加大出血的风险,因此必须考虑其获益风险比。导管消融成功率的提高和心脏监测设备的广泛使用可能会使心房颤动亚群患者采用新的抗凝策略,从而在最大程度降低出血风险的同时优化卒中预防。在本综述中,我们将讨论心房颤动的中风风险以及成功导管消融对血栓栓塞风险的影响。我们还探讨了导管消融成功后预防中风的新策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Novel stroke prevention strategies following catheter ablation for atrial fibrillation

Stroke prevention following successful catheter ablation of atrial fibrillation remains a controversial topic. Oral anticoagulation is associated with a significant reduction in stroke risk in the general atrial fibrillation population but may be associated with an increased risk of major bleeding, and the benefit: risk ratio must be considered. Improvement in successful catheter ablation and widespread use of cardiac monitoring devices may allow for novel anticoagulation strategies in a subset of patients with atrial fibrillation, which may optimize stroke prevention while minimizing bleeding risk. In this review, we discuss stroke risk in atrial fibrillation and the effects of successful catheter ablation on thromboembolic risk. We also explore novel strategies for stroke prevention following successful catheter ablation.

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CiteScore
7.70
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