重视老年心血管疾病患者抗血栓策略的选择

Choice of antithrombotic strategies in elderly patients with cardiovascular diseases

摘要:

抗血栓治疗是防止动静脉血栓形成、也是冠心病和房颤等心血管疾病的主要治疗措施之一，对于减少血栓性事件的发生具有重要意义。然而，抗血栓治疗常会导致出血。老年患者由于其自身的生理特点，常伴发多系统疾病，血栓及出血风险都明显增加，在抗血栓治疗时宜根据患者自身病情，慎重选择抗栓策略，平衡血栓及出血风险，使患者获益最大化。

Abstract:

Antithrombotic therapy, including antiplatelets and anticoagulation, is highly effective for prevention of thrombotic complications in patients with coronary artery disease or atrial fibrillation. However, antithrombotic therapy usually induces bleeding. As for the elderly patients, they usually suffer from multiple organ diseases and the risk of thrombosis and bleeding are both significantly increased. It is very important to choose the most beneficial antithrombotic regimen based on the balance of risk of thrombosis and bleeding.