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Oral anticoagulant treatment in management of elderly patients with atrial fibrillation [corrected]: is it beneficial or detrimental?
Artículo en Inglés | IMSEAR | ID: sea-47045
ABSTRACT
Atrial fibrillation (AF) is supraventricular tachyarrhythmia characterized by uncontrolled atrial activation, and deteriorates atrial function. In AF patients, increasing of age is related with enlarge left atrium (LA), diminished flow velocity of left atrial appendage (LAA), and spontaneously contrast echo, with other factors which are predisposition for LA thrombus. In AF patients, thromboemboli after cardioversion without anticoagulant administration is 1.5-3.0%. Elderly patient is not contraindication for anticoagulant, although higher risk for bleeding. For stroke prevention in >65 years of age whilst the patient is candidate for oral anticoagulant warfarin, it should be prescribed to reach INR 2.0-3.0. Some reports on anticoagulant evaluation (INR) and bleeding as complication of warfarin prescribed for AF treatment are not significantly different in elderly and younger patients.
Asunto(s)
Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Fibrilación Atrial / Tromboembolia / Trombosis / Warfarina / Anciano de 80 o más Años / Anciano / Femenino / Humanos / Masculino / Factores de Edad Tipo de estudio: Guía de Práctica Clínica Límite: Aged80 Idioma: Inglés Año: 2008 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Fibrilación Atrial / Tromboembolia / Trombosis / Warfarina / Anciano de 80 o más Años / Anciano / Femenino / Humanos / Masculino / Factores de Edad Tipo de estudio: Guía de Práctica Clínica Límite: Aged80 Idioma: Inglés Año: 2008 Tipo del documento: Artículo