中国介入心脏病学杂志2024,Vol.32Issue(3) :178-180.DOI:10.3969/j.issn.1004-8812.2024.03.011

心房颤动引发多系统栓塞1例

Multiple system embolism caused by atrial fibrillation:a case report

马林 马兰虎 虎鹍 买经龙 马晓文 肖金鹏 张春秀
中国介入心脏病学杂志2024,Vol.32Issue(3) :178-180.DOI:10.3969/j.issn.1004-8812.2024.03.011

心房颤动引发多系统栓塞1例

Multiple system embolism caused by atrial fibrillation:a case report

马林 1马兰虎 1虎鹍 1买经龙 1马晓文 1肖金鹏 1张春秀1
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作者信息

  • 1. 临夏回族自治州人民医院心内科,甘肃临夏 731100
  • 折叠

摘要

心房颤动是临床中常见的心律失常,发病率逐年增加.严重影响患者生活质量,显著增加死亡、脑卒中、心力衰竭等发生风险.本文报道1例中老年男性心房颤动患者,发生系统性栓塞及左心房血栓,导致心肌梗死、脑栓塞、下肢动脉栓塞3种疾病并存时,联合应用抗血小板与抗凝治疗可有效减少缺血及血栓栓塞事件,但会增加出血风险.本病例报道通过患者的初诊、转诊、随访的过程,分析该患者病情演变并对相关文献进行复习,可以提高临床对该类疾病的认识及诊治水平.

Abstract

Atrial fibrillation is a common arrhythmia in clinical practice,and its incidence is increasing year by year.It seriously affects the quality of life and significantly increases the risk of death,stroke,and heart failure.This paper reports a middle-aged and elderly male patient with atrial fibrillation,systemic embolism and left atrial thrombosis,resulting in myocardial infarction,cerebral embolism,lower extremity artery embolism three diseases co-existing,combined antiplatelet and anticoagulant therapy can effectively reduce ischemia and thromboembolism events,but will increase the risk of bleeding.Through the process of initial diagnosis,referral and follow-up,this paper analyzes the evolution of the patient's disease and reviews the relevant literature,which can improve the clinical understanding and diagnosis and treatment level of this disease.

关键词

心房颤动/冠状动脉栓塞/脑栓塞/下肢动脉栓塞

Key words

Atrial fibrillation/Coronary artery embolism/Cerebral embolism/Lower extremity artery embolismextremity artery embolism

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出版年

2024
中国介入心脏病学杂志
北京大学

中国介入心脏病学杂志

CSTPCDCSCD
影响因子:1.224
ISSN:1004-8812
参考文献量12
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