老年心血管疾病的抗凝治疗进展及策略

Anticoagulant therapy strategy in elderly patients with cardiovascular disease

老年人既是血栓高危人群,又是抗凝治疗出血的高危人群。对老年心血管病人进行抗凝治疗时,要谨慎的评估血栓与出血风险,关注肝肾功能及合并用药情况,对于高出血风险者需要加强监测,在遵循指南的基础上进行个体化选择抗凝药物的种类和剂量。本文重点阐述老年人心血管疾病抗凝治疗的复杂性、抗凝治疗的注意事项和策略。

The elderly is not only the high-risk group of thrombus, but also the high-risk group of anticoagulant therapy for bleeding. In the anticoagulant treatment of elderly cardiovascular patients, the risk of thrombosis and bleeding should be carefully evaluated, and the liver and renal functions and combined medication should be paid attention to. For patients with high bleeding risk, monitoring should be strengthened, and the type and dose of anticoagulants should be selected individually based on the guidelines. This paper focuses on the complexity of anticoagulant therapy for cardiovascular diseases in the elderly, the precautions and strategies of anticoagulant therapy.