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左心耳封堵预防心房颤动患者卒中的研究进展

ZHANG Wei-Yi HUANG Guang

中国卒中杂志2019,Vol.14Issue(5):474-479,6.
中国卒中杂志2019,Vol.14Issue(5):474-479,6.DOI:10.3969/j.issn.1673-5765.2019.05.013

左心耳封堵预防心房颤动患者卒中的研究进展

Progress in Prevention of Stroke in Patients with Atrial Fibrillation by Left Atrial Appendage Occlusion

ZHANG Wei-Yi 1HUANG Guang1

作者信息

  • 1. Department of Neurology, Fu Xing Hospital, Capital Medical University, Beijing 100038, China
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摘要

Abstract

Common methods for preventing stroke in patients with atrial fibrillation (AF) includes anticoagulant drugs, such as warfarin and new oral anticoagulants (NOAC), and left atrial appendage occlusion (LAAO). In recent years, some studies have shown that LAAO was not inferior to warfarin in the prevention of stroke in AF patients, and even better than warfarin, while randomized comparative studies of LAAO and NOAC are very few. However, the recent study suggested that LAAO increased the long-term AF-related outpatient care visit rate and hospitalization rate in AF patients, and might have an impact on the occurrence and development of AF, which brought some controversy. This suggested us that it is important to identify the indications of LAAO in clinical practice, and the patients suitable for LAAO should be strictly selected according to the comprehensive assessment of long-term benefit and risk.

关键词

心房颤动/左心耳封堵/缺血性卒中

Key words

Atrial fibrillation/Left atrial appendage occlusion/Ischemic stroke

引用本文复制引用

ZHANG Wei-Yi,HUANG Guang..左心耳封堵预防心房颤动患者卒中的研究进展[J].中国卒中杂志,2019,14(5):474-479,6.

中国卒中杂志

OACSTPCD

1673-5765

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