[AF-FORUM] 84E一过性脑缺血发作（TIA）. Dr. Pellegrino

[AF Symposium]

各位同道
我有一位62岁女性患者，由于TIA发作而来诊。无器质 
性心脏病，ECG正常，24小时Holter见3阵无症状房颤。
我开始用华法令抗凝，INR 2.5，但因为静脉血管病变2 
次出血住院治疗。遂停用华法令。一年随访病人未再 
发作房颤（Holter证实）。但最新的一次Holter显示仍有 
房颤发作（无症状）。
请问各位专家能帮助分析一下吗？
DRA G PELLEGRINO
阿根廷

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84E Transient Ischemic Attack. Dr. Pellegrino
Dear colleagues,
I have a 62-year-old patient, who came to me because of a Transient
Ischemic Attack
She has no structural heart disease, normal ECG and in a Holter 24 hs
3 asympthomatic atrial fibrillation episodes.
I started anticoagulation with warfarin, in progressive doses with
close control and RIN 2.5 which did not prevent however,
hospitalization (2 oportunities) due to bleeding because of veins
disease. Warfarin was suspended.
She was during one year in sinus rhythm (controlled by Holter), but
in a new one it appears another AF episode
(asymptomatic)
What should I do considering her background?
Best regards

DRA G PELLEGRINO
Argentina

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee