有应用华法林指征且植入冠状动脉支架患者抗栓策略的选择

被引:1
作者
孙育民 [1 ]
王骏 [1 ]
刘旭 [2 ]
机构
[1] 上海市静安区中心医院心内科
[2] 上海交通大学附属胸科医院心内科
关键词
心血管病学; 冠心病; 综述; 支架; 华法林; 阿司匹林; 氯吡格雷;
D O I
10.13333/j.cnki.cjcpe.2009.04.026
中图分类号
R541.4 [冠状动脉(粥样)硬化性心脏病(冠心病)];
学科分类号
摘要
目前对于既有应用华法林指征且又植入冠状动脉支架者抗栓策略的选择尚缺乏大规模的循证医学证据。故现阶段,对于此类患者需慎重权衡出血和血栓的风险,选择个体化的抗栓策略。血栓栓塞低危或仅存一个中危因素的患者,可选用阿司匹林加氯吡格雷二联抗栓治疗,而对于存在1个以上中危因素或1个高危因素的患者则可能需要在严密监测国际标准化比率的基础上选择三联抗栓策略,而对于高龄患者,阿司匹林加氯吡格雷二联抗栓策略可能更为合适。
引用
收藏
页码:357 / 359
页数:3
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