髋部骨折手术患者心房颤动

C. Rostagno
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引用次数: 1

摘要

超过90%的髋部骨折患者年龄在70岁以上,大多数研究的平均年龄接近85岁。年龄的增长也与房颤(AF)的高患病率相关。在本综述中,我们将试图回答关于房颤对髋部骨折患者影响的3个主要问题:(a)房颤与髋部骨折风险之间是否存在关系?(b)抗凝治疗围手术期应注意哪些事项?(c)房颤对髋部骨折术后的生存有长期预后价值吗?房颤与康复治疗的结果之间是否存在关系?此外,我们评估了一些关于术后新发心房颤动的发生率和预后价值的报道。
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Atrial Fibrillation in Patients Undergoing Hip Fracture Surgery
More than 90% of hip fracture patients are older than 70 years and in most studies mean age is close to 85 years. Increasing age is also associated with a higher prevalence of atrial fibrillation (AF). In present review we will try to answer 3 main questions about the effect of atrial fibrillation in patients with hip fracture: (a) Is there a relationship between AF and risk of hip fracture? (b) Which should be perioperative management of anticoagulant treatment? (c) has AF a long term prognostic value on survival after hip fracture surgery and is there a relationship between AF and the results of rehabilitative treatment? Moreover we evaluated the few reports about incidence and prognostic value of new onset postoperative atrial fibrillation.
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