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新型口服抗凝药预防心房颤动相关卒中的研究进展 被引量:6

Research Progress on New Oral Anticoagulants for Prevention of Atrial Fibrillation Associated Stroke
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摘要 心房颤动是常见的心律失常之一,可导致卒中,且心房颤动相关卒中的危害严重。口服华法林是预防心房颤动患者发生卒中的有效措施,但华法林治疗窗窄,且易与多种食物、药物发生相互作用。新型口服抗凝药(达比加群酯、利伐沙班、阿哌沙班、依度沙班、贝曲西班)克服了华法林的一些缺点,且能更好地降低心房颤动患者卒中及出血风险,有望成为临床预防心房颤动患者卒中事件的新选择。 Atrial fibrillation is one kind of common arrhythmia, may cause stroke, and atrial fibrillation associated stroke can lead to severe consequences. Oral warfarin is an effective measure to prevent stroke in patients with atrial fibrillation, but its therapeutic window is narrow, is easy to interact with a variety of foods and drugs. New oral anticoagulants including dabigatran etexilate, rivaroxaban, apixaban, edoxaban, betrixaban overcome many shortcomings of warfarrin, have better effect on reducing the risk of stroke and hemorrhage in patients with atrial fibrillation, is possible to become the new choice for clinical prevention of stroke in patients with atrial fibrillation.
作者 王丹 张家美
出处 《实用心脑肺血管病杂志》 2015年第8期1-4,共4页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 心房颤动 抗凝药 华法林 达比加群酯 利伐沙班 阿哌沙班 依度沙班 贝曲西班 Atrial fibrillation Anticoagulants Warfarrin Dabigatran etexilate Rivaroxaban Apixaban Edoxaban Betrixaban
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  • 1Leithauser B, Park JW. Cardioembolic stroke in atrial fibrillation - rationale for preventive closure of the left atrial appendage [ J ]. Korean Circ J, 2009, 39 (11): 443-458.
  • 2Wolf PA, D'Agostino RB, Belanger A J, et al. Probability of stroke: a risk profile from the Framingham Study [ J]. Stroke, 1991, 22 (3) : 312 -318.
  • 3Arya A, Kircher S, Milssigbrodt A, et al. Clinical implications of recent trials on anticoagulation in patients with atrial fibrillation [ J ]. Res Cardiovasc Med, 2012, 1 (1) : 3 -9.
  • 4心房颤动抗凝治疗中国专家共识[J].中华内科杂志,2012,51(11):916-921. 被引量:139
  • 5Stangier J. Clinical pharmacokinetics and pharmacodynamics of the oral direct thrombin inhibitor dabigatran etexilate [ J ]. Clin Pharmacokinet, 2008, 47 (5) : 285 - 295.
  • 6Stangier J, Rathgen K, Stahle H, et al. The pharmacokinetics, plaarmacodynamics and tolerability of dabigatran etexilate, a new oral direct thrombin inhibitor, in healthy male subjects [J]. Br J Clin Pharmacol, 2007, 64 (3): 292-303.
  • 7Bauer KA. Pros and cons of new oral anticoagulants [ J ]. Hematology Am Soc Hematol Educ Program, 2013 (2013) : 464 -470.
  • 8Connolly SJ, Ezekowitz MD, Yusuf S, et al. Dabigatran versus warfarin in patients with atrial fibrillation [ J ]. N Engl J Med, 2009, 361 (12): 1139-1151.
  • 9Uchino K, Hemandez AV. Dabigatran association with higher risk of acute coronary events: meta- analysis of noninferiority randomized controlled trials [ J]. Arch Intern Med, 2012, 172 (5) : 397 -402.
  • 10Patel MR, Mahaffey KW, Garg J, et al. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation [ J ]. N Engl J Med, 2011, 365 (10): 883-891.

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