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Vol 16, No 2 (2021)
Review paper
Published online: 2021-04-30

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Dlaczego nie wszyscy chorzy wysokiego ryzyka zakrzepowo-zatorowego z migotaniem przedsionków otrzymują leczenie przeciwkrzepliwe?

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

Abstract

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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