Management of Antithrombotic Therapy in Atrial Fibrillation Patients Presenting with Acute Coronary Syndrome and/or Undergoing Percutaneous Coronary Intervention/Stenting A Consensus Document of the European Society of Cardiology Working Group on Thrombosis, endorsed by the European Heart Rhythm Association [EHRA] and the European Association of Percutaneous Cardiovascular Interventions [EAPCI]

被引:245
作者
Lip, Gregory Y. H. [1 ]
Huber, Kurt [2 ]
Andreotti, Felicita [3 ]
Arnesen, Harald [4 ]
Airaksinen, K. Juhani [5 ]
Cuisset, Thomas [6 ]
Kirchhof, Paulus [7 ]
Marin, Francisco [8 ]
机构
[1] Univ Birmingham, City Hosp, Ctr Cardiovasc Sci, Birmingham B18 7QH, W Midlands, England
[2] Wilhelminen Hosp, Dept Med Cardiol & Emergency Med 3, Vienna, Austria
[3] A Gemelli Univ Hosp, Dept Cardiovasc Med, Rome, Italy
[4] Oslo Univ Hosp, Dept Cardiol, Oslo, Norway
[5] Turku Univ Hosp, Dept Med, FIN-20520 Turku, Finland
[6] CHU Timone, Dept Cardiol, Marseille, France
[7] Univ Klinikum Munster, Dept Cardiol & Angiol, Munster, Germany
[8] Hosp Univ Virgen Arrixaca, Dept Cardiol, Murcia, Spain
关键词
Arial fibrillation; antithrombotic therapy; acute coronary syndrome; percutaneous coronary intervention; stenting; warfarin; ST-SEGMENT-ELEVATION; ACUTE MYOCARDIAL-INFARCTION; DUAL ANTIPLATELET THERAPY; GLYCOPROTEIN-IIB/IIIA INHIBITORS; ORAL ANTICOAGULANT-THERAPY; LONG-TERM ANTICOAGULATION; MOLECULAR-WEIGHT HEPARIN; RANDOMIZED CONTROLLED-TRIAL; RISK STRATIFICATION SCHEMA; SUPPRESS ADVERSE OUTCOMES;
D O I
10.1160/TH09-08-0580
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There remains uncertainty over optimal antithrombotic management strategy for patients with atrial fibrillation (AF) presenting with an acute coronary syndrome and/or undergoing percutaneous coronary intervention/stenting. Clinicians need to balance the risk of stroke and thromboembolism against the risk of recurrent cardiac ischaemia and/or stent thrombosis, and the risk of bleeding. This consensus document comprehensively reviews the published evidence and presents a consensus statement on a 'best practice' antithrombotic therapy guideline for the management of antithrombotic therapy in such AF patients.
引用
收藏
页码:13 / 28
页数:16
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