[AF-FORUM] 49S 阵发性房颤 Dr. Nejamkis

[AF Symposium]

我的问题

88岁患者，5年前诊断肾上腺功能不全，肾癌切除术。 
自那时起应用氢化可的松以及NaCl治疗。同时该患者 
存在高血压和阵发性房颤，服用可达龙治疗。但因下 
肢出现多发神经炎而停用。现在应用倍他阻滞剂以及 
间断利尿剂治疗（外周水肿时）。他拒绝抗凝治疗， 
您的建议是什么呢？

谢谢

Dr Norberto Nejamkis,
Buenos Aires Argentina


49S PAF. Dr. Nejamkis

My question:
An 88-year-old patient, with suprarenal insufficiency diagnosed 5
years ago, post-nephrectomy by kidney cancer, and since then in
treatment with hydrocortisone, and at times capsules of sodium
chloride. He has a background of high blood pressure and paroxysmal
AF. He was taking amiodarone, but he had to stop because of
polyneuritis in lower limbs. Now in treatment with beta-blockers and
at times diuretics, when he has peripheral edemas. He refuses
anticoagulation. What is your suggestion?
Thank you for your answer and I send you my regards,

Dr Norberto Nejamkis,
Buenos Aires Argentina

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee