Anticoagulant treatment of non-valvular atrial fibrillation in cardiovascular department
10.3969/j.issn.1006-5725.2016.16.042
- VernacularTitle:心血管内科非瓣膜性心房颤动住院患者抗凝治疗现状分析
- Author:
Chaohui DONG
;
Hua XIAO
;
Huanjie ZHENG
;
Jiawei XU
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Anticoagulant treatment;
Anti-thrombotic therapy
- From:
The Journal of Practical Medicine
2016;32(16):2737-2739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the present situations of anticoagulant treatment of non-valvular atri-al fibrillation in order to get better guidance of the clinical anticoagulant therapy and reduce the incidence of stroke caused by atrial fibrillation. Methods The clinical data of NVAF patients hospitalized in the first affili-ated hospital of Chongqing Medical University from January 1 , 2012 to December 31 , 2014 were retrospectively reviewed and analyzed in terms of basic characteristics , medical treatment plan and INR monitoring. Results A total of 1,390 patients were enrolled, 85.97% of whom needed anticoagulant therapy and 25.18% of whom were treated with anticoagulants. For 15.71% of the NVAF patients treated with warfarin , INR met the standard during hospitalization. In the study, such factors as age, coronary heart disease, history of stroke and history of bleed-ing might affect prescription of anticoagulant drugs. Conclusion Most NVAF patients need anticoagulant thera-py, but the rate of anticoagulant therapy is lower than we expected. Among those patients treated with warfarin during hospitalization , the rate of INR meeting the standard is at a lower level. The novel oral anticoagulants are not in wide use in the clinical practice.
