期刊文献+

心房颤动合并冠状动脉支架置入术患者的联合抗栓优化策略 被引量:5

Optimizing Antithrombotic Strategies in Patients with Atrial Fibrillation Undergoing Coronary Stenting
暂未订购
导出
摘要 心房颤动患者合并冠状动脉支架置入术后应接受口服抗凝药和双联抗血小板药的三联抗栓治疗。然而,华法林联合阿司匹林和氯吡格雷的三联抗栓治疗出血风险高,哪种联合方式更加安全有效便成为抗栓治疗优化策略的关注焦点。现就心房颤动合并冠状动脉支架置入术患者的各种联合抗栓治疗方案的有效性及安全性综述如下。 Combining antithrombotic strategies of oral anticoagulation and dual antiplatelet drug is recently recommended in patiens with atrial fibrillation undergoing coronary stenting. However, triple therapy of warfarin, aspirin, and elopidogrel is associated with an in-creased risk of major bleeding. The safer and more effective joint approach has become the focus of this issue. The efficacy and safety of va- rious joint antithrombotic regimen are summarized in this paper.
出处 《心血管病学进展》 CAS 2014年第2期171-174,共4页 Advances in Cardiovascular Diseases
关键词 心房颤动 冠状动脉支架置入 华法林 氯吡格雷 atrial fibrillation coronary stenting warfarin clopidogrel
  • 相关文献

参考文献31

  • 1Go AS, Hylek EM, Phillips KA, et al. Prevalence of diagnosed atrial fibrilla- tion in adults: national implications for rhythm management and stroke preven- tion : the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) study [J]. JAMA, 2001,285:2370-2375.
  • 2周自强,胡大一,陈捷,张仁汉,李奎宝,赵秀丽.中国心房颤动现状的流行病学研究[J].中华内科杂志,2004,43(7):491-494. 被引量:1408
  • 3Gage BF, van Walraven C, Pearce L, et al. Selecting patients with atrial fibril- lation for anticoagulation: stroke risk stratification in patients taking aspirin [ J ]. Circulation, 2004,110:2287-2292.
  • 4Cairms JA, Connolly S, McMurtry S, et al. Canadian Cardiovascular Society at- rial fibrillation guidelines 2010: prevention of stroke and systemic thromboembo- lism in atrial fibrillation and flutter[J]. Can J Cardiol, 2011,27:74-90.
  • 5Lip GY, Huber K, Andreotti F, et al. Management of antithrombotic therapy in atrial fibrillation patients presenting with acute coronary syndrome and/or under- going percutaneous coronary intervention/stenting[ J]. Thromb Haemost, 2010, 103 : 13-28.
  • 6Hansen ML, Sorensen R, Clausen MT, et al. Risk of bleeding with single, du- al, or triple therapy with warfarin, aspirin, and clopidogrel in patients with atri- al fibrillation[J]. Arch Intern Med, 2010, 170(16) : 1433-1441.
  • 7冯仕勇,许勇.药物洗脱支架植入术后心房颤动患者抗栓治疗方案疗效对比[J].临床内科杂志,2011,28(3):177-180. 被引量:4
  • 8Smith SC Jr, Feldman TE, Hirshfeld JW Jr, et ah ACC/AHA/SCAI 2005 guideline update for percutaneous coronary intervention-- summary article : a re- port of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines ( ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention) [ J]. Circulation, 2006,113 : 156-175.
  • 9Flaker GC, Gruber M, Connony SJ, et ah Risks and benefits of combining as- pirin with anticoagulant therapy in patients with atrial fibrillation: an exploratm2 analysis of stroke prevention using an oral thrombin inhibitor in atrial fibrillation (SPORTIF) trials[ J]. Am Heart J,2006,152:967-973.
  • 10Goldman ME, Pearce LA, Hart RG, et ah Pathopbysiologic correlates of thromboembolism in nonvalvular atrial fibrillation: I. Reduced flow velocity in the left atrial appendage ( The Stroke Prevention in Atrial Fibrillation [ SPAF- m ] study) [ J ]. JASE, 1999,12:1080-1087.

二级参考文献49

  • 1周自强,胡大一,陈捷,张仁汉,李奎宝,赵秀丽.中国心房颤动现状的流行病学研究[J].中华内科杂志,2004,43(7):491-494. 被引量:1408
  • 2张学义,张薇,郑兆通,钟明,黎莉,张运.非瓣膜性心房颤动并发缺血性脑卒中的防治[J].中华急诊医学杂志,2004,13(9):592-594. 被引量:21
  • 3胡大一,张鹤萍,孙艺红,姜立清.华法林与阿司匹林预防非瓣膜性心房颤动患者血栓栓塞的随机对照研究[J].中华心血管病杂志,2006,34(4):295-298. 被引量:163
  • 4赖敏.华法林对心房颤动的抗凝疗效观察[J].广西医学,2007,29(4):499-500. 被引量:11
  • 5Yamaguchi T. Optimal intensity of warfarin therapy for secondary prevention of stroke in patients with nonvalvular atrial fibrillation: multicenter, prospective, randomized trial .Japanese Nonvalvular Atrial Fibrillation- EmlMism Secondary Prevention Cooperative Study Gwup[J].Stroke,2000,31 (4):817-821.
  • 6Chenhsu R Y, Chiang S C, Chou M H, et al. Long-term treatment with warfarin in Chinese population [J]. Ann Pharmacother,2000,34 (12) :1395-1401.
  • 7[1]Hart RG, Sherman DG, Easton JD, et al. Prevention of stroke in nonvalvular atrial fibrillation[J]. Neurology, 1998,51 ( 5 ) :674 ~ 81.
  • 8[2]Evans A, Perez I, Yu G, et al. Should Stroke Subtype Influence Anticoagulation Decisions to Prevent Recurrence in Stroke Patients with Atrial Fibrillation[J]. Stroke,2001,32 ( 12 ): 2828 ~ 32.
  • 9[3]Hylek EM, Skates S J, Sheehan MA, et al. An analysis of the lowest effective intensity of prohylactic anticoagulation for patients with nonrheumatic atrial fibrillation[J]. N Engl J Med, 1996,335 ( 8 ):540~6.
  • 10[5]Feinberg WM, Blackshear JL, Laupacis A, et al. Prevalence, age distribution, and gender of patients with atrial fibrillation[J]. Arch Intern Med, 1995,155 (4) :469 ~ 73.

共引文献1784

同被引文献51

  • 1Marie A, Jilene R, Sturis Halhnan I. Warfarin drug interactions: strategies to minimize adverse drug events[J]. Nurse Practit, 2011,7(6): 506 -511.
  • 2Baldwin ZK, Spitzer AL, Ng VL, et al. Contemporary standards for the diagnosis and treatment of heparin induced thrombocytopenia (HIT) [Jl. Surgery,2008,143 (3): 305 - 312.
  • 3Holbrook A, Schulman S, Witt DM, et al. Evidence - ased man- agement of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-based Clinical Practice Guidelines[J]. Chest,2012,141 (2 Suppl) : e152S - e184S.
  • 4Heneghan C, Tyndel S, Bankhead C, et al. Optimal loading dose for the initiation of warfarin: a systematic review[J]. BMC Cardio- vascular Disorders ,2010,10(16) : 18.
  • 5Garcia P, Ruiz W, Loza Munarriz C. Warfarin initiation nomograms for venous thromboembolism[J]. Cochrane Database Syst Rev, 2013,7(7) :10.
  • 6Bonow RO, Carabello BA, Chatterjee K, et al. Guidelines for theManagement of Patients With Valvular Heart Disease[J]. JACC ,2006,48(3): el - e148.
  • 7芦慧霞,杨天琴,王玉华,陈菊,李旭东.体外循环围手术期凝血功能及血小板数量变化的临床观察[J].东南大学学报(医学版),2007,26(5):360-362. 被引量:15
  • 8申玉静,杨跃进.肝素诱导的血小板减少症诊断与治疗[J].中华心血管病杂志,2009,37(4):381-384. 被引量:25
  • 9赵初环,林洁,钱红兰,冯霞飞,张翔,孙成超.体外循环对循环巨核细胞和血小板的影响及意义[J].中国现代医生,2011,49(15):144-145. 被引量:2
  • 10李爱琴,郑海军,朱艳霞.PCI术后冠状动脉支架内血栓形成原因分析及对策[J].山东医药,2011,51(39):83-84. 被引量:13

引证文献5

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部