Tom 18, Nr 1 (2021)
Artykuł przeglądowy
Opublikowany online: 2021-05-27
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Leczenie przeciwkrzepliwe w ramach profilaktyki udaru niedokrwiennego u osób starszych z migotaniem przedsionków.
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Choroby Serca i Naczyń 2021;18(1):20-26.
Streszczenie
Migotanie przedsionków (AF) jest najczęstszym rodzajem arytmii, jego częstość występowania szacuje się na 1–4% w populacji ogólnej, a znaczna większość chorych to osoby powyżej 65 lat. Wiek i choroby współistniejące zwiększają ryzyko zarówno krwawienia, jak i powikłań zakrzepowo-zatorowych, natomiast sama obecność AF jest związana z 5-krotnym wzrostem ryzyka udaru niedokrwiennego. Jednocześnie wśród chorych starszych z AF często obserwuje się zaniechanie terapii przeciwkrzepliwej ze względu na liczne choroby towarzyszące i powikłania leczenia. Dostępne obecnie metody prewencji udaru niedokrwiennego, preparaty oraz schematy dawkowania umożliwiają jednak skuteczne leczenie nawet najbardziej wymagających chorych.
Słowa kluczowe: migotanie przedsionkówudarosoby starszeantykoagulacja
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