Antithrombotic management of atrial fibrillation patients presenting with acute coronary syndrome and/or undergoing coronary stenting: executive summary-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:183
作者
Lip, Gregory Y. H. [1 ]
Huber, Kurt [2 ]
Andreotti, Felicita [3 ]
Arnesen, Harald [4 ]
Airaksinen, Juhani K. [5 ]
Cuisset, Thomas [6 ]
Kirchhof, Paulus [7 ]
Marin, Francisco [8 ]
机构
[1] Univ Birmingham, Ctr Cardiovasc Sci, City Hosp, Birmingham B18 7QH, W Midlands, England
[2] Wilhelminen Hosp, Dept Med Cardiol & Emergency Med 3, A-1160 Vienna, Austria
[3] A Gemelli Univ Hosp, Dept Cardiovasc Med, Rome, Italy
[4] Oslo Univ Hosp, Dept Cardiol, N-0407 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, D-48149 Munster, Germany
[8] Hosp Univ Virgen Arrixaca, Dept Cardiol, Murcia 30120, Spain
关键词
Atrial fibrillation; Antithrombotic therapy; Acute coronary syndrome; Percutaneous coronary intervention; Stenting; Warfarin; ACUTE MYOCARDIAL-INFARCTION; DUAL ANTIPLATELET THERAPY; INTERNATIONAL NORMALIZED RATIO; MAJOR BLEEDING COMPLICATIONS; ORAL ANTICOAGULATION; TASK-FORCE; ACUTE CATHETERIZATION; COMPETENCE NETWORK; ADVERSE OUTCOMES; AMERICAN-COLLEGE;
D O I
10.1093/eurheartj/ehq117
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. The full 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. This executive summary highlights the main recommendations from the consensus document.
引用
收藏
页码:1311 / U12
页数:10
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