扩张性心肌病重度心衰患者的抗凝治疗分析

Management of Anticoagulation Therapy in One Patient with Dilated Cardiomyopathy and Severe Heart Failure

目的评价1例扩张性心肌病重度心衰患者的抗凝治疗方案。方法查阅文献及指南,综述窦性心律重度心衰患者抗凝处理方案。结果临床药师参与药物治疗,制定合理的抗凝治疗方案。结论应充分评估重度心衰患者的心脑血管事件风险及出血风险,个体化制定抗凝治疗策略。

OBJECTIVE To evaluate the anticoagulation therapy regimen in one patient with dilated cardiomyopathy and severe heart failure. METHODS Literatures and clinical practice guidelines were consulted, referring to the management of anticoagulation therapy in heart failure with sinus rhythm. RESULTS Clinical pharmacist participated in the process of drug treatment and decided on optimal anticoagulation therapy. CONCLUSION Individual bleeding and thrombotic risk should be evaluated to optimize the treatment of individual patients with heart failure.