Anticoagulation Therapy for Chinese Elderly Patients with Atrial Fibrillation　#br#

doi:10.12114/j.issn.1007-9572.2018.00.079

Abstract

Abstract: Atrial fibrillation （AF） is a common arrhythmia in the elderly，which is an important independent risk factor of ischemic stroke（IS）.Both the prevalence of AF and the incidence of IS related with AF are increasing with age.Moreover，thrombosis-related IS is a major cause of mortality and disability of AF patients.Thankfully，it is accepted that anticoagulantion therapy can reduce the incidence of IS and systemic thromboembolism related with AF，but an unsatisfactory status was reported in China，especially in the elderly patients.We analyzed the status and associated factors of anticoagulation therapy in elderly patients with non-valvular AF in China，with a view to improving physicians and patients' understanding of the importance of anticoagulation therapy.

Key words: Atrial fibrillation, Aged, Anticoagulants, Review

摘要： 心房颤动（房颤）是老年人常见的一种心律失常，是缺血性卒中重要的独立危险因素之一，随着年龄的增长，房颤的患病率及卒中的发病率均逐渐增加。血栓栓塞所致的缺血性卒中是房颤患者致残、致死的主要原因。规范的抗凝治疗可显著降低卒中及全身血栓栓塞事件的发生。但目前我国抗凝治疗现状不尽如人意，尤其是老年房颤患者。本文对老年非瓣膜病房颤患者的抗凝治疗现状及影响规范化抗凝治疗的因素进行综述，旨在提高各界对抗凝治疗的认识和重视。

关键词: 心房颤动, 老年人, 抗凝药, 综述

YAN Jing-jing,QIN Ming-zhao. Anticoagulation Therapy for Chinese Elderly Patients with Atrial Fibrillation　#br#[J]. Chinese General Practice, 2018, 21(27): 3285-3289. DOI: 10.12114/j.issn.1007-9572.2018.00.079.
闫静静,秦明照. 中国老年心房颤动患者抗凝治疗现状及分析[J]. 中国全科医学, 2018, 21(27): 3285-3289. DOI: 10.12114/j.issn.1007-9572.2018.00.079.

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