评估房颤患者脑卒中发病风险国产 porn
该评分分别由 C(慢性心衰)、H(高血压)、A(年纪)、D(糖尿病)和 S(卒中或少顷性脑缺血发作)构成,除卒中或少顷性脑缺血发作积2分外,其余各积1分。要是评分≥2分,提倡运行抗凝调整,需结合出血风险评估。
评估房颤患者脑卒中发病风险
该评分法是CHADS2评分法的修订,纳入了血管疾病、年纪分层及性别身分。相较于CHADS2评分,CHA2DS2-VASc评分能更好地识别低危患者,尤其是那些真确不需要抗凝调整的患者。
用于房颤卒中风险评估及抗凝调整
一生一世酒色网CHA2DS2-VASc评分是当今讹诈最世俗的卒中风险评估器具,CHA2DS2-VASc-60评分是基于亚洲房颤患者卒中风险加多的年纪阈值更低这一近况而更新的公式。
评估房颤患者出血风险
总分为9分;评分≥3时,预示潜在出血风险高危,叮咛患者进行INR值监测及密切不雅察,实时调治口服抗凝药物或阿司匹林的剂量。
评估房颤服用抗凝药的出血风险
张开剩余75%与CHA2DS2-VASC评分法比较,ATRIA评分法对年纪进行了更细巧的折柳,并纳入了肾功能算作评估身分,但其相对繁琐和复杂的积分模范在一定经由上松手了其在临床上的世俗讹诈。
房颤说合症状严重经由评估
EHRA评分通过评估房颤说合症状(如心悸、乏力、头晕、呼吸发愤、胸痛、心焦)对患者泛泛举止的影响经由来进行分级。该评分是聘请调整战略和评价调整恶果的焦虑依据。
房颤症状严重经由评估
该评分主要用于评估房颤患者症状的严重经由、活命质料影响及调整恶果。
参考文件:
[1]Gage BF et al. Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA. 2001 Jun 13;285(22):2864-70.
[2]Lip GY et al. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest. 2010 Feb;137(2):263-72.
[3]中华医学会心血管病学分会,中国生物医学工程学会心律分会,心房泛动会诊和调整中国指南.中华心血管病杂志,2023,51(06) : 572-618.
[4]Pisters R et al. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey. Chest. 2010;138(5):1093-100.
[5]Pisters R et al. A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey. Chest. 2010;138(5):1093-100.
[6]2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2021;42(5):546-547.
[7]Dorian P et al. Validation of a new simple scale to measure symptoms in atrial fibrillation: the Canadian Cardiovascular Society Severity in Atrial Fibrillation scale. Circ Arrhythm Electrophysiol. 2009 Jun;2(3):218-24.
(转自:医学界)国产 porn
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