中国心源性卒中防治指南(2019)

被引:111
作者
国家卫生健康委员会脑卒中防治专家委员会房颤卒中防治专业委员会
中华医学会心电生理和起搏分会
中国医师协会心律学专业委员会
机构
关键词
卒中; 心房颤动;
D O I
暂无
中图分类号
R541 [心脏疾病]; R743.3 [急性脑血管疾病(中风)];
学科分类号
100201 [内科学]; 100204 [神经病学];
摘要
心源性栓塞造成的卒中占缺血性卒中的14%~30%, 且病情更严重, 死亡率、致残率及复发率均较高。防治方式较动脉粥样硬化等原因所致卒中有很大不同。心源性卒中多存在明确的心血管系统基础疾病或危险因素, 其中由心房颤动(房颤)所致者占绝大多数。大多数心源性卒中可以通过适当的治疗措施予以预防。目前对心源性卒中的防治存在认识不足、治疗不规范等问题。为更好指导临床做好心源性卒中的防治工作, 在卫生健康委员会脑卒中预防办公室的倡导下制订此指南。
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[31]
2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines [J].
Nishimura, Rick A. ;
Otto, Catherine M. ;
Bonow, Robert O. ;
Carabello, Blase A. ;
Erwin, John P., III ;
Guyton, Robert A. ;
O'Gara, Patrick T. ;
Ruiz, Carlos E. ;
Skubas, Nikolaos J. ;
Sorajja, Paul ;
Sundt, Thoralf M., III ;
Thomas, James D. ;
Anderson, Jeffrey L. ;
Halperin, Jonathan L. ;
Albert, Nancy M. ;
Bozkurt, Biykem ;
Brindis, Ralph G. ;
Creager, Mark A. ;
Curtis, Lesley H. ;
DeMets, David ;
Guyton, Robert A. ;
Hochman, Judith S. ;
Kovacs, Richard J. ;
Ohman, E. Magnus ;
Pressler, Susan J. ;
Sellke, Frank W. ;
Shen, Win-Kuang ;
Stevenson, William G. ;
Yancy, Clyde W. .
CIRCULATION, 2014, 129 (23) :E521-E643
[32]
Embolic strokes of undetermined source: the case for a new clinical construct [J].
Hart, Robert G. ;
Diener, Hans-Christoph ;
Coutts, Shelagh B. ;
Easton, J. Donald ;
Granger, Christopher B. ;
O'Donnell, Martini J. ;
Sacco, Ralph L. ;
Connolly, Stuart J. .
LANCET NEUROLOGY, 2014, 13 (04) :429-438
[33]
Efficacy and Safety of Dabigatran Compared With Warfarin in Relation to Baseline Renal Function in Patients With Atrial Fibrillation A RE-LY (Randomized Evaluation of Long-term Anticoagulation Therapy) Trial Analysis [J].
Hijazi, Ziad ;
Hohnloser, Stefan H. ;
Oldgren, Jonas ;
Andersson, Ulrika ;
Connolly, Stuart J. ;
Eikelboom, John W. ;
Ezekowitz, Michael D. ;
Reilly, Paul A. ;
Siegbahn, Agneta ;
Yusuf, Salim ;
Wallentin, Lars .
CIRCULATION, 2014, 129 (09) :961-970
[34]
Apixaban vs. warfarin with concomitant aspirin in patients with atrial fibrillation: insights from the ARISTOTLE trial [J].
Alexander, John H. ;
Lopes, Renato D. ;
Thomas, Laine ;
Alings, Marco ;
Atar, Dan ;
Aylward, Philip ;
Goto, Shinya ;
Hanna, Michael ;
Huber, Kurt ;
Husted, Steen ;
Lewis, Basil S. ;
McMurray, John J. V. ;
Pais, Prem ;
Pouleur, Hubert ;
Steg, Philippe Gabriel ;
Verheugt, Freek W. A. ;
Wojdyla, Daniel M. ;
Granger, Christopher B. ;
Wallentin, Lars .
EUROPEAN HEART JOURNAL, 2014, 35 (04) :224-232
[35]
2013 ACCF/AHA Guideline for the Management of Heart Failure.[J].Clyde W. Yancy;Mariell Jessup;Biykem Bozkurt;Javed Butler;Donald E. Casey;Mark H. Drazner;Gregg C. Fonarow;Stephen A. Geraci;Tamara Horwich;James L. Januzzi;Maryl R. Johnson;Edward K. Kasper;Wayne C. Levy;Frederick A. Masoudi;Patrick E. McBride;John J.V. McMurray;Judith E. Mitchell;Pamela N. Peterson;Barbara Riegel;Flora Sam;Lynne W. Stevenson;W.H. Wilson Tang;Emily J. Tsai;Bruce L. Wilkoff.Circulation.2013, 16
[36]
Patent Foramen Ovale, Subclinical Cerebrovascular Disease, and Ischemic Stroke in a Population-Based Cohort [J].
Di Tullio, Marco R. ;
Jin, Zhezhen ;
Russo, Cesare ;
Elkind, Mitchell S. V. ;
Rundek, Tatjana ;
Yoshita, Mitsuhiro ;
DeCarli, Charles ;
Wright, Clinton B. ;
Homma, Shunichi ;
Sacco, Ralph L. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (01) :35-41
[37]
Review of epidemiology and management of atrial fibrillation in developing countries [J].
Nguyen, Tu N. ;
Hilmer, Sarah N. ;
Cumming, Robert G. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 167 (06) :2412-2420
[38]
European Heart Rhythm Association Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation [J].
Heidbuchel, Hein ;
Verhamme, Peter ;
Alings, Marco ;
Antz, Matthias ;
Hacke, Werner ;
Oldgren, Jonas ;
Sinnaeve, Peter ;
Camm, A. John ;
Kirchhof, Paulus .
EUROPACE, 2013, 15 (05) :625-651
[39]
Warfarin Dose Assessment Every 4 Weeks Versus Every 12 Weeks in Patients With Stable International Normalized Ratios A Randomized Trial [J].
Schulman, Sam ;
Parpia, Sameer ;
Stewart, Clare ;
Rudd-Scott, Lisa ;
Julian, Jim A. ;
Levine, Mark .
ANNALS OF INTERNAL MEDICINE, 2011, 155 (10) :653-+
[40]
Prevention of stroke and systemic embolism with rivaroxaban compared with warfarin in patients with non-valvular atrial fibrillation and moderate renal impairment [J].
Fox, Keith A. A. ;
Piccini, Jonathan P. ;
Wojdyla, Daniel ;
Becker, Richard C. ;
Halperin, Jonathan L. ;
Nessel, Christopher C. ;
Paolini, John F. ;
Hankey, Graeme J. ;
Mahaffey, Kenneth W. ;
Patel, Manesh R. ;
Singer, Daniel E. ;
Califf, Robert M. .
EUROPEAN HEART JOURNAL, 2011, 32 (19) :2387-2394