相关实验视频
Updated: Feb 16, 2026

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Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
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抗凝血药物管理:在心房移除后是否停止抗凝血药物
Lorenz Roger Van der Linden1,2, Qi Shao2, Laura Hellemans3,2
1Hospital Pharmacy Department, University Hospitals Leuven, Leuven, Belgium lorenz.vanderlinden@uzleuven.be.
European journal of hospital pharmacy : science and practice
|February 14, 2026
概括
口服抗凝剂 (OAC) 可能不需要在抽取心房动 (AF) 患者在消融后. 最近的试验表明中风风险较低,但存在局限性,需要在OAC停止之前仔细选择患者.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 关于在心房动 (AF) 患者中中止口服抗凝剂 (OAC) 治疗的日益增长的问题.
- 最近的试验 (ALONE-AF,OCEAN) 表明,在抽选的非心律失常的AF患者中,在切除术后,中风发生率较低.
研究的目的:
- 为了评估AF患者在AF患者的OAC的必要性,这些患者在去除后没有心律失常.
- 分析最近对OAC停药的试验的发现和局限性.
主要方法:
- 对最近的临床试验 (ALONE-AF,OCEAN) 的综述,这些试验调查了AF患者的OAC使用情况.
- 临界分析研究方法,患者选择标准和血栓塞栓事件的统计能力.
主要成果:
- 在最近的试验中,在经过切除后的AF患者队列中,选定的AF患者队列在最近的试验中显示了低的年度中风率.
- 这些试验表明,在这个特定群体中,OAC对中风的增加保护可能有限.
结论:
- 在精心挑选的AF患者中,可考虑OAC停止治疗.
- 关键标准包括12个月无心律失常状态,低血栓栓塞风险,以前没有中风,并加强监测,尽管缺乏经过验证的策略.
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