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Tom 16, Nr 2 (2021)
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Opublikowany online: 2021-04-30

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Dlaczego nie wszyscy chorzy z grupy wysokiego ryzyka zakrzepowo-zatorowego z migotaniem przedsionków są leczeni przeciwkrzepliwie?

Bernadetta Bielecka1, Iwona Gorczyca12, Beata Wożakowska-Kapłon12
Folia Cardiologica 2021;16(2):119-125.

Streszczenie

Powszechnie stosowaną skalą w ocenie ryzyka zakrzepowo-zatorowego u pacjentów z migotaniem przedsionków jest skala CHA2DS2-VASc. Doustne leki przeciwkrzepliwe zaleca się w zapobieganiu udarom mózgu u chorych z AF z wynikiem 2 lub więcej punktów w skali CHA2DS2-VASc u mężczyzn oraz 3 lub więcej punktów u kobiet. Znane są czynniki, których w niej nie uwzględniono, a znacząco zwiększają ryzyko zakrzepowo-zatorowe. Nie wszyscy chorzy z migotaniem przedsionków z grupy wysokiego ryzyka zakrzepowo-zatorowego są leczeni przeciwkrzepliwie. Wynika to przede wszystkim z przeciwwskazań do stosowania leków z tej grupy.

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