The Medical Letter TML n. 9/2017
Nr. 09 del 01/05/2017
TML n. 9/2017 – TRATTAMENTO ANTICOAGULANTE NEI PAZIENTI ANZIANI CON FIBRILLAZIONE ATRIALE A ELEVATO RISCHIO DI CADUTE
Con l’ampia adozione del sistema di punteggio CHA2DS2-VASc (1), la terapia con anticoagulanti orali viene oggi raccomandata per tutti i pazienti di età pari o superiore ai 75 anni con fibrillazione atriale non valvolare (2, 3). La fibrillazione atriale è però stata associata a un aumentato rischio di cadute, e i pazienti in età più avanzata che iniziano ad assumere il warfarin per la fibrillazione atriale hanno un tasso elevato di ospedalizzazione per emorragia intracranica (4, 5). Molti medici sono pertanto restii a prescrivere un anticoagulante orale ai pazienti che presentano un rischio elevato di cadute.
Questo è l'abstract dell'articolo. Per poter consultare l'intero numero o più numeri scegli il tipo di abbonamento che preferisci.
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