[AF-FORUM] 112E 转律和抗凝. Dr. Lehto

[AF Symposium]

就像Nattel医生探讨的“电复律>48小时的房颤是一个特 
殊的情况”，对比稳定的房颤中风的风险增高。
对于充分抗凝的患者电复律是非常安全的过程，中风 
危险仅1%，尤其在INR2.5时风险极低。因此，如果没有 
其他的因素需要尽快复律的话，患者应该尽可能接受 
充分的抗凝，INR2.5为宜。

参考文献请见：

1.    Callagher et al. J Am Coll Cardiol 2002;40:926 -33.

2.    Gentile et al. Mayo Clin Proc. 2002;77:897-904


Mika Lehto, MD
Espoo, 芬兰

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Re: [AF-FORUM] 112E Cardioversion and anticoagulation. Dr. Lehto

As doctor Nattel has argued "cardioversion of AF>48 hrs is a special
situation" with increased risk of stroke compared to stable AF.

Elective cardioversion is a very safe procedure with ? 1.0 %
pericardiovesional risk of stroke in patients with adequate
anticoagulation. This risk seems to be extremely low with INR ? 2.5.

Therefore, if there is no reason to hasten for cardioversion,
patients should be anticoagulated as properly as possible, with INR ?
2.5.

1. Callagher et al. J Am Coll Cardiol 2002;40:926 -33.

2.Gentile et al. Mayo Clin Proc. 2002;77:897-904

Mika Lehto, MD
Espoo, Finland




--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee