房颤病人选择达比加群还是华法林效果好?

2021-07-23 MedSci原创 MedSci原创

房颤病人选择达比加群还是华法林效果好-第八个问题

《梅斯医学课:心源性卒中诊断评估及治疗策略》

回答问题8:房颤病人选择达比加群还是华法林效果好?

 

欢迎点赞、评论、分享

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1220433, encodeId=fe221220433d2, content=<a href='/topic/show?id=23959394eda' target=_blank style='color:#2F92EE;'>#达比加群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93947, encryptionId=23959394eda, topicName=达比加群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:48:15 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1799505, encodeId=f80b1e9950588, content=<a href='/topic/show?id=5089e076506' target=_blank style='color:#2F92EE;'>#病人选择#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70765, encryptionId=5089e076506, topicName=病人选择)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aae2431, createdName=venlin, createdTime=Tue Jun 14 17:21:18 CST 2022, time=2022-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031438, encodeId=0d941031438f2, content=房颤,临床上碰到很多哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=心介, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047399, encodeId=300a104e39952, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002041, encodeId=48cb10020415f, content=hajaj, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0d95555406, createdName=ms3000000354090529, createdTime=Fri Jul 23 16:15:09 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1220433, encodeId=fe221220433d2, content=<a href='/topic/show?id=23959394eda' target=_blank style='color:#2F92EE;'>#达比加群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93947, encryptionId=23959394eda, topicName=达比加群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:48:15 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1799505, encodeId=f80b1e9950588, content=<a href='/topic/show?id=5089e076506' target=_blank style='color:#2F92EE;'>#病人选择#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70765, encryptionId=5089e076506, topicName=病人选择)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aae2431, createdName=venlin, createdTime=Tue Jun 14 17:21:18 CST 2022, time=2022-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031438, encodeId=0d941031438f2, content=房颤,临床上碰到很多哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=心介, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047399, encodeId=300a104e39952, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002041, encodeId=48cb10020415f, content=hajaj, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0d95555406, createdName=ms3000000354090529, createdTime=Fri Jul 23 16:15:09 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1220433, encodeId=fe221220433d2, content=<a href='/topic/show?id=23959394eda' target=_blank style='color:#2F92EE;'>#达比加群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93947, encryptionId=23959394eda, topicName=达比加群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:48:15 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1799505, encodeId=f80b1e9950588, content=<a href='/topic/show?id=5089e076506' target=_blank style='color:#2F92EE;'>#病人选择#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70765, encryptionId=5089e076506, topicName=病人选择)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aae2431, createdName=venlin, createdTime=Tue Jun 14 17:21:18 CST 2022, time=2022-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031438, encodeId=0d941031438f2, content=房颤,临床上碰到很多哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=心介, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047399, encodeId=300a104e39952, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002041, encodeId=48cb10020415f, content=hajaj, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0d95555406, createdName=ms3000000354090529, createdTime=Fri Jul 23 16:15:09 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
    2021-07-23 心介

    房颤,临床上碰到很多哦

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1220433, encodeId=fe221220433d2, content=<a href='/topic/show?id=23959394eda' target=_blank style='color:#2F92EE;'>#达比加群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93947, encryptionId=23959394eda, topicName=达比加群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:48:15 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1799505, encodeId=f80b1e9950588, content=<a href='/topic/show?id=5089e076506' target=_blank style='color:#2F92EE;'>#病人选择#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70765, encryptionId=5089e076506, topicName=病人选择)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aae2431, createdName=venlin, createdTime=Tue Jun 14 17:21:18 CST 2022, time=2022-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031438, encodeId=0d941031438f2, content=房颤,临床上碰到很多哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=心介, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047399, encodeId=300a104e39952, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002041, encodeId=48cb10020415f, content=hajaj, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0d95555406, createdName=ms3000000354090529, createdTime=Fri Jul 23 16:15:09 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
    2021-07-23 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1220433, encodeId=fe221220433d2, content=<a href='/topic/show?id=23959394eda' target=_blank style='color:#2F92EE;'>#达比加群#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93947, encryptionId=23959394eda, topicName=达比加群)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:48:15 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1799505, encodeId=f80b1e9950588, content=<a href='/topic/show?id=5089e076506' target=_blank style='color:#2F92EE;'>#病人选择#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70765, encryptionId=5089e076506, topicName=病人选择)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aae2431, createdName=venlin, createdTime=Tue Jun 14 17:21:18 CST 2022, time=2022-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1031438, encodeId=0d941031438f2, content=房颤,临床上碰到很多哦, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=心介, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047399, encodeId=300a104e39952, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Fri Jul 23 17:21:18 CST 2021, time=2021-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002041, encodeId=48cb10020415f, content=hajaj, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b0d95555406, createdName=ms3000000354090529, createdTime=Fri Jul 23 16:15:09 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
    2021-07-23 ms3000000354090529

    hajaj

    0

相关资讯

BMJ子刊:10年研究发现,运动员房颤的风险可能是非运动员的2.5倍

运动员发生心房颤动的风险是非运动员的 2.46 倍。

Heart:阿司匹林与P2Y12抑制剂联合抗凝治疗对房颤的疗效分析

在长期服用利伐沙班和P2Y12抑制剂或阿司匹林的AF和稳定性CAD患者的心血管和出血事件没有显著差异。

J Clin Med:体重对艾多沙班治疗房颤患者临床结局的影响是什么样的?(ETNA-AF-Europe注册研究)

超重和肥胖已被确定为房颤发生的危险因素,但体重过轻对房颤的影响尚未得到充分探讨。解释肥胖与房颤之间联系的病理机制复杂,且暂未得到充分认识。目前认为,心外膜脂肪组织增厚、左心房扩大和舒张功能障碍与心房重

梅斯心血管疾病进展 (008期)

编者按:梅斯医学将定期进行汇总,帮助大家概览心血管领域最新进展。下面是呈现给大家的最新一期的心血管进展。enjoy~

专家访谈|荆志成:全学科范围积极推广左心耳封堵术,实现高卒中风险房颤患者远离卒中

凭借日益丰富的循证医学证据支持,左心耳封堵术(LAAC)不仅已成为各国指南推荐的房颤患者预防卒中新方法,也是广大抗凝禁忌或因种种因素无法坚持抗凝治疗患者的绝佳治疗选择。自该技术首次引入国内至今,LAA

Heart:慢性肾病患者房颤与肾功能下降之间的关联

在CKD患者中,AF与随后较大的肾功能下降风险相关。CHA2DS2-VASc评分可能是一种有用的风险分层手段,可用于预测肾功能下降的风险。

拓展阅读

Anesthesia & Analgesia:利伐沙班降低模拟体外循环期间抗凝所需的 达比加群剂量

具有不同药理作用机制的口服抗凝药物(达比加群和利伐沙班)的双重给药在体外产生协同抗凝的作用,并成功在体外循环中预防了血栓的形成。

Neurology:服用达比加群卒中患者的溶栓治疗

达比加群酯(达比加群)是一种直接凝血酶抑制剂,已被证明可预防心房颤动患者的卒中。伊达鲁珠单抗(Idarucizumab)是一种人源化单克隆抗体片段,旨在逆转达比加群的抗凝作用。伊达鲁珠单抗与达比加群的

Stroke:替奈普酶静脉溶栓前逆转达比加群的抗凝作用

达比加群是预防心房颤动血栓的一种有效且常用的处方药。与维生素K拮抗剂不同,它不需要抗凝监测,而且抗凝作用起效快。

NEJM:达比加群在未确定栓塞性卒中病史的患者中的预防作用

对于来源不确定的栓塞性卒中患者,我们进行了达比加群每天150 mg或110 mg每天两次与阿司匹林100 mg每日一次剂量的多中心,随机,双盲试验。主要结果是卒中复发。主要安全结果是大出血。

Stroke:达比加群治疗急性非心脏栓塞性缺血性卒中的疗效

由此可见,对于急性轻度非心脏栓塞性缺血性卒中/短暂性脑缺血发作患者,达比加群具有与阿司匹林相似的HT风险。

Blood:达比加群用于高凝风险儿童预防继发性VTE

中心点:采用达比加群(dabigatran)儿科配方预防继发性VTE的患儿,很少会出现复发性VTE。在使用达比加群进行继发性静脉血栓栓塞的预防时,很少有儿童发生大出血或临床相关的非大出血事件。摘要:本研究是一个开放性的单臂的前瞻性队列试验,也是第一个关于儿童采用达比加群预防继发性静脉血栓栓塞(VTE)预后的3期安全性试验。招募12-18岁(第一层)、2-12岁(第二层)和3个月-2岁(第三层)的采