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Stroke prevention in atrial fibrillation-An Asian stroke perspective
Tse, Hung-Fat1; Wang, Yong-Jun2; Ai-Abdullah, Moheeb Ahmed3; Pizarro-Borromeo, Annette B.4; Chiang, Chern-En5,6; Krittayaphong, Rungroj7; Singh, Balbir8; Vora, Amit9; Wang, Chun-Xue2; Zubaid, Mohammad10; Clemens, Andreas11; Lim, Paul12; Hu, Dayi13
关键词Atrial fibrillation Asia Stroke prevention
刊名HEART RHYTHM
2013-07-01
DOI10.1016/j.hrthm.2013.03.017
10期:7页:1082-1088
收录类别SCI
文章类型Review
WOS标题词Science & Technology
类目[WOS]Cardiac & Cardiovascular Systems
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]FACTOR XA INHIBITOR ; INTERNATIONAL NORMALIZED RATIO ; ACUTE ISCHEMIC-STROKE ; RE-LY TRIAL ; J-ROCKET AF ; JAPANESE PATIENTS ; RISK-FACTORS ; WARFARIN THERAPY ; RACIAL/ETHNIC DIFFERENCES ; DABIGATRAN ETEXILATE
英文摘要

Despite relatively lower prevalence of atrial fibrillation (AF) in Asians (similar to 1%) than in Caucasians (similar to 2%), Asia has a much higher overall disease burden because of its proportionally larger aged population. For example, on the basis of reported age-adjusted prevalence rates and projected population figures in China, there will be an estimated 5.2 million men and 3.1 million women with AF older than 60 years by year 2050. Stroke is a disabling complication of AF that is of increasing cause for concern in Asians patients. Implementing consensus expert recommendations for managing stroke risk in patients with AF can considerably reduce stroke rates. However, caution is necessary when aligning management of Asian patients with AF to that of their Caucasian counterparts. Current international guidelines and risk stratification tools for AF management are based on findings in predominantly Caucasian populations and may therefore have limited relevance, in certain respects, to Asian patients. Oral anticoagulants play an important role in preventing AF-related stroke. The vitamin K antagonist warfarin is recommended for reducing the risk of stroke and thromboembolism in high-risk patients with nonvalvular AF; however, warfarin interacts with many drugs and food ingredients, which may pose significant challenges in administration and monitoring among Asian patients. Further research is needed to inform specific guidance on the implications of different stroke and bleeding profiles in Asians vs Caucasians. Moreover, there is scope to improve physician perceptions and patient knowledge, as well as considering alternative new oral anticoagulants, for example, direct thrombin inhibitors or factor Xa inhibitors.

语种英语
WOS记录号WOS:000321497500027
资助机构Boehringer Ingelheim
引用统计
被引频次:52[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58450
专题北京大学第二临床医学院
作者单位1.Taipei Vet Gen Hosp, Gen Clin Res Ctr, Taipei, Taiwan
2.Natl Yang Ming Univ, Taipei 112, Taiwan
3.Mahidol Univ, Siriraj Hosp, Bangkok 10700, Thailand
4.Medanta Heart Inst, Gurgaon, Haryana, India
5.Arrhythmia Associates, Bombay, Maharashtra, India
6.Prince Sultan Cardiac Ctr, Riyadh, Saudi Arabia
7.Philippine Heart Ctr, Quezon City, Philippines
8.Univ Hong Kong, Dept Med, Div Cardiol, Hong Kong, Hong Kong, Peoples R China
9.Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China
10.Kuwait Univ, Fac Med, Dept Med, Kuwait, Kuwait
11.Boehringer Ingelheim Pharma GmbH & Co KG, Global Clin Dev & Med Affairs, Biberach, Germany
12.Boehringer Ingelheim Singapore Pte Ltd, Singapore, Singapore
13.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Tse, Hung-Fat,Wang, Yong-Jun,Ai-Abdullah, Moheeb Ahmed,et al. Stroke prevention in atrial fibrillation-An Asian stroke perspective[J]. HEART RHYTHM,2013,10(7):1082-1088.
APA Tse, Hung-Fat.,Wang, Yong-Jun.,Ai-Abdullah, Moheeb Ahmed.,Pizarro-Borromeo, Annette B..,Chiang, Chern-En.,...&Hu, Dayi.(2013).Stroke prevention in atrial fibrillation-An Asian stroke perspective.HEART RHYTHM,10(7),1082-1088.
MLA Tse, Hung-Fat,et al."Stroke prevention in atrial fibrillation-An Asian stroke perspective".HEART RHYTHM 10.7(2013):1082-1088.
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