[1]魏言昭 唐艳红.心房颤动患者的脑卒中风险评估及危险因素的最新进展[J].心血管病学进展,2021,(11):1032-1035.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
 WEI YanzhaoTANG Yanhong.Stroke Risk Evaluation and Risk Factors in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2021,(11):1032-1035.[doi:10.16806/j.cnki.issn.1004-3934.2021.11.000]
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心房颤动患者的脑卒中风险评估及危险因素的最新进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年11期
页码:
1032-1035
栏目:
综述
出版日期:
2021-11-25

文章信息/Info

Title:
Stroke Risk Evaluation and Risk Factors in Patients with Atrial Fibrillation
文章编号:
202105087
作者:
魏言昭 唐艳红
(武汉大学人民医院心内科 武汉大学心血管病研究所 心血管病湖北省重点实验室,湖北 武汉 430060)
Author(s):
WEI YanzhaoTANG Yanhong
(Department of Cardiology,Renmin Hospital of Wuhan University,Cardiovascular Research Institute of Wuhan University,Hubei Key Laboratory of Cardiology,Wuhan 430060,Hubei,China)
关键词:
心房颤动卒中CHA2DS2-VASc卒中风险评估卒中危险因素
Keywords:
Atrial fibrillationStrokeCHA2DS2-VAScStroke risk evaluationStroke risk factor
DOI:
10.16806/j.cnki.issn.1004-3934.2021.11.000
摘要:
心房颤动是脑卒中最重要的病因之一,心房颤动患者往往左心房功能不全,血流淤滞,易生成血栓。目前通行的CHA2DS2-VASc评分仅从临床特征描述了卒中风险,临床上的情况往往更复杂,实际得分为低危的患者整体卒中发生率仍高于建议抗凝阈值,相同得分的因素对于卒中影响的程度也不尽相同。心房颤动患者卒中风险的评估角度可进一步优化,风险因素的列入和权重也仍有讨论空间。现重点探讨临床上心房颤动患者卒中风险的评估问题。
Abstract:
Atrial fibrillation is one of the most prominent risk factor for stroke events. Atrial fibrillation impairs atrial systolic function which causes blood retention,ultimately resulting in thrombogenesis. The current CHA2DS2-VASc score only describes the stroke risk from the clinical characteristics,and the clinical situation is often more complex. The overall stroke incidence of patients with low-risk score is still higher than the recommended anticoagulation threshold,and the factors with the same score have different degrees of impact on stroke . The evaluation angle of stroke risk in patients with atrial fibrillation can be further optimized,and the inclusion and weight of risk factors still have room for discussion. This review focuses on the evaluation of stroke risk in patients with atrial fibrillation.

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更新日期/Last Update: 2021-12-06