[AF-FORUM] 48E 抗凝. Dr. Gerstenfeld

[AF Symposium]

大家好

我一直做个旁观者，但是对于这位68岁房颤内科医生 
我想和我们的外科同事们说几句

1．          既然您是高血压，持续性房颤，68岁，您 
需要华法令抗凝，INR2-3。阿司匹林和小剂量华法令无 
效（SPAF III）

2．          你确实面对着全世界数百万人同时面对的 
一个问题，尽管我们被这种新的复杂的手术方式所鼓 
舞，对于你，我仍然建议先享受生活，暂时把房颤放 
在一边。既然你没有症状，华法令和lopressor治疗满 
意，再进行消融或者外科手术恐怕很难给你带来更多 
的好处。你将把你暴露于一次或者多次的消融手术风 
险中，虽然发生率不高，但后果可能很严重。


希望能给你所帮助

Ed Gerstenfeld
心电生理
费城

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Re: [AF-FORUM] 48E Anticoagulation. Dr. Gerstenfeld
Hello all,

I have been mainly a silent observer to this symposium, but feel I
should add a few points to the discussion between this 68 yo physician
with AF and our cardiac surgical colleague:

1) Since you have hypertension, persistent AF and age 68 you do need to
remain on coumadin with an INR from 2-3. ASA and low dose coumadin is
not sufficient (SPAF III).

2) You have a VERY common condition experience by millions of people
around the world. Although we all are intrigued by new and complex
procedures, in your case,  my advice would be to enjoy life and leave
the AF alone. If you are not having symptoms and are doing well on
lopressor and coumadin, it is going to be difficult to make you feel
better with either a catheter based or surgical procedure. You will be
exposing yourself to one and perhaps multiple ablation procedures, which
do have small but serious risks.

Hope this helps.

Ed Gerstenfeld
Cardiac Electrophysiology
Philadelphia, PA

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee