左心耳封堵术应用进展韩宝石.pptxVIP

左心耳封堵术应用进展韩宝石解放军总医院心血管内科2017年6月房颤与脑卒中房颤是最常见的心律失常房颤会增加卒中率左心耳血栓抗凝 90%NVAF患者的血栓来源于左心耳3300万房颤患者~45%未正规服用华法林抗凝5倍房颤患者卒中率高于正常人群1 Chugh, S et al. Circulation, 2014; 129: 837-847 2 Holmes DR, Atrial Fibrillation and Stroke Management: Present and Future, Seminars in Neurology 2010;30:528–536.3 Blackshear JL. Odell JA., Annals of Thoracic Surgery. 1996;61:755-7594 Waldo, AL. JACC 2005;46:1729-1736. / Holmes DR et al, Atrial Fibrillation and Stroke Management: Present and Future, Seminars in Neurology 2010;30:528–536房颤治疗策略房颤治疗节律或心率卒中或栓塞起搏器药物控制消融华法林新型口服抗凝药达比加群利伐沙班阿哌沙班左心耳结扎封堵问题一：传统或新型口服抗凝药物，预防房颤患者卒中的“真实世界