Fibrilación auricular y terapéutica anticoagulante

Atrial fibrillation is the most frequent arrhythmia in general population. Its frequency increases with age, being 1.5% from 50 to 59 years old and 8-10% from 80 to 89 years old. Atrial fibrillation increases 5 fold the risk of suffering a stroke and causes 15% of all strokes. Atrial fibrillation...

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Publicado en:Revista Médica Universitaria
Autores principales: Ceresetto, J., Prieto, S.
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Acceso en línea:https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3196
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Sumario:Atrial fibrillation is the most frequent arrhythmia in general population. Its frequency increases with age, being 1.5% from 50 to 59 years old and 8-10% from 80 to 89 years old. Atrial fibrillation increases 5 fold the risk of suffering a stroke and causes 15% of all strokes. Atrial fibrillation management focuses in the prevention of thromboembolic phenomena and heart rate and rhythm control. Anticoagulation, when is indicated, has demonstrated to be the main tool in the prevention of these thromboembolic events. Although bleeding complications are frequent in this population and increase with age, anticoagulation benefits are greater than the risks of bleeding. Due to the clinically heterogeneous nature of this arrythmia and the difficulty of establishing appropriate treatment for each particular case, the American College of Cardiology, the American Heart Association, European Society of Cardiology and American College of Chest Physicians have established guidelines to improve the management these patients. The review of thist condition and the proposed directives can notably facilitate and improve the mangement of the patients with atrial fibrillation.