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The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
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経口抗凝固剤で治療された心房細動患者の抗血栓療法: 北米の見通し:2021年更新
Dominick J Angiolillo1, Deepak L Bhatt2, Christopher P Cannon2
1Division of Cardiology, University of Florida College of Medicine, Jacksonville (D.J.A.).
Circulation
|February 8, 2021
まとめ
経皮冠動脈干渉 (PCI) を受けている心房細動患者には,ビタミンK抗体でない経口抗凝固薬が推奨されます. ガイドラインでは,最初は二重抗血小板療法,その後はP2Y12阻害剤と経口抗凝固剤を投与することで,最適の抗血小板治療を行うことを推奨しています.
科学分野:
- 心臓病科
- 薬理学について
- 臨床医学
背景:
- 心房細動を患っている患者の数は日増し,皮経冠動脈介入 (PCI) を受けています.
- 最適な抗血栓管理は,二重療法 (経口抗凝固薬と二重抗血小板療法) の必要性により困難です.
- 併用治療は出血のリスクを大幅に増加させる.
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